| NPI | 1063254084 |
|---|---|
| Doing Business As | WIDE AWAKE CENTER FOR SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALAN JORDAN MICEV Manager 702-798-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |