Healthcare Provider Details

I. General information

NPI: 1275442998
Provider Name (Legal Business Name): ROBOTIC AND GENERAL SURGERY SPECIALISTS OF NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SHADOW LN
LAS VEGAS NV
89102-2314
US

IV. Provider business mailing address

1111 SHADOW LN
LAS VEGAS NV
89102-2314
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-4040
  • Fax: 702-383-0526
Mailing address:
  • Phone: 702-383-4040
  • Fax: 702-383-0526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG IWAMOTO
Title or Position: PARTNER
Credential: MD
Phone: 702-497-8677