WILDCREEK SURGERY CENTER
Ambulatory Health at Green Vista Dr, Sparks, NV

License number
Nevada 1830ASC-8
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DOUGLAS K. DEVRIES O.D.
Title: OWNER
Phone: (775) 674-1110
Address
Address
2285 Green Vista Dr, Sparks, NV 89431
National Provider ID: 1003875873
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Wildcreek Surgery Center, Ltd

2285 Grn Vis Dr, Sparks, NV 89431

Registration:
Oct 24, 1997
State ID:
LLC4171-1997
Business type:
Domestic Limited-Liability Company
Mmembers:
Paul W. Hiss (Mmember),Douglas K. Devries (Mmember)
Agent:
Maupin, Cox & Legoy, A Professional Corporation

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