Dynasty Surgical Partners I, LLC
Specialist/Technologist, Other, Surgical Assistant in Las Vegas, NV. Organization (NPI-2).
NPI number1669062139
StatusActive
Last updated in NPPESFeb 4, 2021
Details
- NPI
- 1669062139
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynasty Surgical Partners I, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 19, 2021
- Certification date
- Feb 4, 2021
- Last updated
- Feb 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
6671 Las Vegas Blvd S Unit D-210Las Vegas, NV 89119-3273
Phone 702-800-6451
Mailing address
6671 Las Vegas Blvd S Unit D-210Las Vegas, NV 89119-3273
Phone 702-800-6451
Authorized official
Isaac Raphael Rhino
Certified Surgical First Assistant
7022906260
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