PHYSICIAN ASSISTANT SURGICAL SPECIALISTS NPI 1093046963

NPI Information

PHYSICIAN ASSISTANT SURGICAL SPECIALISTS is a surgical physician assistant in Las Vegas, NV. PHYSICIAN ASSISTANT SURGICAL SPECIALISTS NPI is 1093046963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8979 HAVILAND RD
LAS VEGAS, NV
ZIP 89123-617
Phone: (702) 614-4178
Fax: (702) 614-4179

The provider's authorized official is Henry James Van Vleet .
The authorized official title is Physician Assistant and has the following contact phone number (702) 614-4178.

The enumeration date for this NPI number is 1/16/2010 and was last updated on 1/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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