PEDIATRIC SURGERY ASSOCIATES NPI 1588784623

NPI Information

PEDIATRIC SURGERY ASSOCIATES is a pediatric surgery surgery in Las Vegas, NV. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SURGERY ASSOCIATES NPI is 1588784623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

653 N TOWN CENTER DR
SUITE 507
LAS VEGAS, NV
ZIP 89144-514
Phone: (702) 233-8101
Fax: (702) 242-0726

The provider's authorized official is Kelly A Kogut .
The authorized official title is President and has the following contact phone number (702) 233-8101.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

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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