NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003064890 |   |   |   | SPECIALTY ASC LLC | 9499 W CHARLESTON BLVD STE 250 | LAS VEGAS | NV | 891177148 |
1083669196 |   |   |   | SPECIALTY ASC LLC | 9499 W CHARLESTON BLVD | LAS VEGAS | NV | 891177147 |
1194918672 | HARDY | DORCAR | L |   | 9499 W CHARLESTON BLVD | LAS VEGAS | NV | 89117 |
1740473222 | JACKSON | TIA | DAWN |   | 9499 N CHARLESTON BLVD | LAS VEGAS | NV | 89117 |
1205083847 | PANTALEON-MORALES | ANGEL | JESUS |   | 9499 W CHARLESTON BLVD | LAS VEGAS | NV | 891177147 |