Organization
RURAL SURGICAL ASSOCIATES OF LAS VEGAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNISSA APODACA (DIRECTOR OF OPERATIONS)
(505) 426-3795
Entity
Organization
Contact information
Practice address
105 MILLS AVE STE 200, LAS VEGAS, NM 87701-4169
(505) 426-3795
(505) 425-2653
Mailing address
105 MILLS AVE STE 200, LAS VEGAS, NM 87701-4169
(505) 426-3795
(505) 425-2653
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
12/28/2022
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