Organization
FORTITUDE SPORT & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GODFREY DC (MEDICAL DIRECTOR)
(702) 449-9751
Entity
Organization
Contact information
Practice address
878 DANCING VINES AVE, LAS VEGAS, NV 89183-6317
(702) 449-9751
Mailing address
878 DANCING VINES AVE, LAS VEGAS, NV 89183-6317
(702) 449-9751
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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