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Individual

DR. THOMAS LUTZ VATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
(702) 258-3724
Mailing address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
(702) 258-3724

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
954
NV
207XX0801X
Orthopaedic Trauma Physician
954
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504378
NV
Enumeration date
10/14/2005
Last updated
07/31/2015
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