Organization
SURGICAL ADVISORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A SHANNON M.D. (PHYSICIAN OWNER)
(702) 243-4700
Entity
Organization
Contact information
Practice address
501 S RANCHO DR, SUITE I-67, LAS VEGAS, NV 89106-4828
(702) 243-4700
(702) 243-7074
Mailing address
501 S RANCHO DR, SUITE I-67, LAS VEGAS, NV 89106-4828
(702) 243-4700
(702) 243-7074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NV
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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