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NPI Code Detail

MEDICARE: SUMMIT ANESTHESIA CONSULTANTS, INC

MEDICARE: SUMMIT ANESTHESIA CONSULTANTS, INC
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianB20-00309-D-075108NV
2207L00000XAnesthesiology PhysicianB20-00309-D-075108NV

General Provider Information

NPI Number : 1285601930
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT ANESTHESIA CONSULTANTS, INC
Provider Business Mailing Address
First Line : PO BOX 401805
Second Line :
City : LAS VEGAS
State : NV
Zip : 89140-1805
Country : US
Telephone Number : 702-209-2042
Fax Number : 702-209-2064
Provider Business Practice Location Address
First Line : 7220 S CIMARRON RD
Second Line : SUITE 230
City : LAS VEGAS
State : NV
Zip : 89113-2173
Country : US
Telephone Number : 702-878-0070
Fax Number : 702-818-1928
Authorized Official
Title or Position : PRESIDENT
Name : DR. NEIL SWISSMAN
Credential : M.D.
Telephone Number : 702-209-2042
Provider Enumeration Date : 03/01/2006
Last Update Date : 06/02/2015

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Directions to “SUMMIT ANESTHESIA CONSULTANTS, INC ” Practice Location

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