| NPI | 1568752202 |
|---|---|
| Doing Business As | DBA INNOVATIVE PROCEDURAL AND SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MATT PAXTON Manager 702-316-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |