Organization
THEODORE M. THORP M.D., PROF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE M THORP M.D (PRESIDENT)
(702) 385-1818
Entity
Organization
Contact information
Practice address
500 S RANCHO DR, SUITE D-13, LAS VEGAS, NV 89106-4844
(702) 385-1818
(702) 385-7181
Mailing address
500 S RANCHO DR, SUITE D-13, LAS VEGAS, NV 89106-4844
(702) 385-1818
(702) 385-7181
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2979
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002078
—
NV
Enumeration date
01/22/2010
Last updated
01/22/2010
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