Organization
CARDIOVASCULAR SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIP RATTIGAN (ADMINISTRATOR)
(702) 614-6550
Entity
Organization
Contact information
Practice address
1090 E DESERT INN RD, #202, LAS VEGAS, NV 89109-2824
(702) 614-6550
(702) 614-6562
Mailing address
1090 E DESERT INN RD, #202, LAS VEGAS, NV 89109-2824
(702) 614-6550
(702) 614-6562
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
70126
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03140
RAILROAD MEDICARE PROVIDE
NV
Enumeration date
02/27/2007
Last updated
08/22/2020
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