Organization
NEVADA ORTHOPEDIC & SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE L LAPOLLA (MEDICAL STAFF CREDENTIALING MANAGER)
(702) 258-5521
Entity
Organization
Contact information
Practice address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
Mailing address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C14-00279-3-092590
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505991
—
NV
Enumeration date
07/19/2005
Last updated
01/09/2019
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