Organization
EZEANOLUE, MD, PRECISION SURGERY CENTER OF LAS VEGAS, PLLC
Active
Other names
Precision Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOLUE DAVID EZEANOLUE M.D. (MEDICAL DIRECTOR)
(702) 310-9110
Entity
Organization
Contact information
Practice address
1701 BEARDEN DR, SUITE 202, LAS VEGAS, NV 89106-4189
(702) 310-9110
(702) 310-9114
Mailing address
1701 BEARDEN DR, SUITE 202, LAS VEGAS, NV 89106-4189
(702) 310-9110
(702) 310-9114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NV20141278772
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
01/27/2015
Last updated
08/28/2017
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