| NPI | 1548235302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANCIS PENDLETON Administrator 702-731-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-10-09 |