Organization
RICHARD E OBRINGER PAC PROF CORP
Active
Other names
ADVANCED SURGICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD O'BRINGER (PRESIDENT)
(702) 499-7296
Entity
Organization
Contact information
Practice address
11413 PERUGINO DR, LAS VEGAS, NV 89138-1533
(702) 499-7296
Mailing address
11413 PERUGINO DR, LAS VEGAS, NV 89138-1533
(702) 499-7296
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503895
—
NV
Enumeration date
10/16/2006
Last updated
08/01/2008
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