Organization
THALGOTT, A PROFESSIONAL CORPORATION
Active
Other names
CENTER FOR DISEASES AND SURGERY OF THE SPINE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S THALGOTT (MD)
(702) 878-8370
Entity
Organization
Contact information
Practice address
600 S RANCHO DR, #107, LAS VEGAS, NV 89106-4806
(702) 878-8370
(702) 878-9364
Mailing address
600 S RANCHO DR, #107, LAS VEGAS, NV 89106-4806
(702) 878-8370
(702) 878-9364
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5357
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01259773
BCBS
NV
05
—
100507244
—
NV
01
—
CE0313
RAILROAD MEDICARE
NV
Enumeration date
09/22/2006
Last updated
02/07/2019
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