Summerlin Surgical Associates

NPI #1639350069 in Las Vegas, Nevada

Provider Information

NPI Number: 1639350069
Entity Type: Organization
Organization Name: Summerlin Surgical Associates
Primary Specialty: Surgery
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 653 N TOWN CENTER DR
City: Las Vegas
State: Nevada
ZIP Code: 89144-0514
Phone: (702) 256-7616

Authorized Official

Name: KEVIN PETERSEN, MD
Title: PHYSICIAN
Phone: (702) 256-7616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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