SIERRA SURGERY CENTER LLC NPI 1669180659

NPI Information

NPI: 1669180659
Provider Name: SIERRA SURGERY CENTER, LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 29D2272720

Address:
5824 S DURANGO DR STE 130
LAS VEGAS, NV
ZIP 89113
Phone: (702) 340-9994
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SIERRA SURGERY CENTER, LLC is a plastic and reconstructive surgery surgery in Las Vegas, NV. The provider is a surgeon who specializes in plastic and reconstructive surgery. SIERRA SURGERY CENTER, LLC NPI is 1669180659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5824 S DURANGO DR STE 130
LAS VEGAS, NV
ZIP 89113-314
Phone: (702) 340-9994

The provider's authorized official is Donna M. Tribble .
The authorized official title is Administrator/don and has the following contact phone number (702) 340-9994.

The CLIA number assigned to this NPI record is 29D2272720 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2022 and was last updated on 11/9/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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