Organization
AGATA-VENGER PARTNERSHIP
Active
Other names
WESTERN REGIONAL CENTER FOR BRAIN AND SPINE SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HARPER (PRACTICE ADMINISTRATOR)
(702) 737-1948
Entity
Organization
Contact information
Practice address
3061 S. MARYLAND PARKWAY, SUITE #200, LAS VEGAS, NV 89109-6227
(702) 737-1948
(702) 735-0742
Mailing address
3061 S. MARYLAND PARKWAY, SUITE #200, LAS VEGAS, NV 89109-6227
(702) 737-1948
(702) 735-0742
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI5556
RAILROAD MEDICARE
NV
01
—
DB1501
RAILROAD MEDICARE
AZ
01
—
DE5316
RAILROAD MEDICARE
UT
01
—
VWJBHW
PALMETTO J1
NV
Enumeration date
05/01/2006
Last updated
07/23/2012
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