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NPI Code Detail

MEDICARE: COMPREHENSIVE DIGESTIVE SURGICENTER, LLC

MEDICARE: COMPREHENSIVE DIGESTIVE SURGICENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1164012142
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE DIGESTIVE SURGICENTER, LLC
Provider Business Mailing Address
First Line : 8440 W WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3624
Country : US
Telephone Number : 702-970-2383
Fax Number :
Provider Business Practice Location Address
First Line : 8440 W WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3624
Country : US
Telephone Number : 702-970-2383
Fax Number :
Authorized Official
Title or Position : VP/CFO
Name : DAVID MCKNIGHT
Credential :
Telephone Number : 972-789-2816
Provider Enumeration Date : 01/22/2021
Last Update Date : 06/09/2026

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Directions to “COMPREHENSIVE DIGESTIVE SURGICENTER, LLC ” Practice Location

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