Organization
LAS VEGAS PAIN RELIEF CENTERS(RUSSO),PC
Active
Other names
Las Vegas Pain Relief Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON S PETRICK D.C. (CLINICAL DIRECTOR)
(702) 948-2520
Entity
Organization
Contact information
Practice address
58 N PECOS RD, HENDERSON, NV 89074-7319
(702) 948-2520
(702) 948-2523
Mailing address
58 N PECOS RD, HENDERSON, NV 89074-7319
(702) 948-2520
(702) 948-2523
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
B00848
NV
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
4511
NV
Other
Enumeration date
04/12/2013
Last updated
03/02/2015
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