Organization
DUKE FORAGE ANSON NEUROSURGICAL LLP
Active
Other names
The Spine and Brain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK ADDISON DUKE M.D. (PARTNER)
(702) 896-0940
Entity
Organization
Contact information
Practice address
861 CORONADO CENTER DR, SUITE 200, HENDERSON, NV 89052-3992
(702) 896-0940
(702) 896-6173
Mailing address
861 CORONADO CENTER DR, SUITE 200, HENDERSON, NV 89052-3992
(702) 896-0940
(702) 896-6173
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
8979
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194055442
—
NV
Enumeration date
01/09/2010
Last updated
08/31/2015
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