Organization
ANTHEM ASC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANIEL CARPENTER D.O. (MEDICAL DIRECTOR)
(702) 642-7711
Entity
Organization
Contact information
Practice address
2517 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-6410
(702) 642-7711
(702) 642-8822
Mailing address
2505 ANTHEM VILLAGE DRIVE E-594, HENDERSON, NV 89052
(702) 642-7711
(702) 642-8822
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NV
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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