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NPI Code Detail

MEDICARE: THE CENTER FOR OUTPATIENT SURGERY

MEDICARE: THE CENTER FOR OUTPATIENT SURGERY
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
1261Q00000XClinic/Center46IASC9NV

General Provider Information

NPI Number : 1841297785
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR OUTPATIENT SURGERY
Provider Business Mailing Address
First Line : 18653 WEDGE PKWY
Second Line :
City : RENO
State : NV
Zip : 89511-3005
Country : US
Telephone Number : 775-770-7218
Fax Number : 775-770-7219
Provider Business Practice Location Address
First Line : 18653 WEDGE PKWY
Second Line :
City : RENO
State : NV
Zip : 89511-3005
Country : US
Telephone Number : 775-770-7218
Fax Number : 775-770-7219
Authorized Official
Title or Position : CEO
Name : MR. JOSEPH E JASOM
Credential :
Telephone Number : 775-770-7218
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/22/2020

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Directions to “THE CENTER FOR OUTPATIENT SURGERY ” Practice Location

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