Organization
HUALAPAI AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
10195 W TWAIN AVE STE 100, LAS VEGAS, NV 89147-6727
(702) 476-1800
Mailing address
10195 W TWAIN AVE STE 100, LAS VEGAS, NV 89147-6727
(702) 476-1800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
09/30/2024
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