Organization
PREMIER TREATMENT CENTERS OF NV
Active
Other names
Modern Pain Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY J THOMAS DO (CEO)
(312) 401-4557
Entity
Organization
Contact information
Practice address
3201 S MARYLAND PKWY STE 318, LAS VEGAS, NV 89109-2425
(702) 665-8390
Mailing address
PO BOX 8389, SEMINOLE, FL 33775-8389
(312) 401-4557
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
06/08/2022
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