| NPI | 1205116985 |
|---|---|
| Doing Business As | SURGICAL WEIGHT CONTROL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD TICE Director 702-313-8446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |