| NPI | 1053057323 |
|---|---|
| Doing Business As | ORTHO LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RALSTON MCGEE Managing Member 702-485-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-03-01 |