| NPI | 1386966976 |
|---|---|
| Doing Business As | ORTHOPEDIC & SPORTS MEDICINE INSTITUTE OF LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | RANDA BASCHARON Medical Director 702-947-7790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NV 1103) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2011-03-01 |