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Organization

BLACK MOUNTAIN ORTHOPAEDICS ASSC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL S RAVITCH (MANAGING PARTNER)
(702) 564-1234
Entity
Organization

Contact information

Practice address
1681 W HORIZON RIDGE PKWY, BLACK MOUNTAIN ORTHOPAEDICS, HENDERSON, NV 89012
(702) 564-1234
(702) 564-3361
Mailing address
1681 W HORIZON RIDGE PKWY, BLACK MOUNTAIN ORTHOPAEDICS, HENDERSON, NV 89012
(702) 564-1234
(702) 564-3361

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
05/07/2007
Last updated
08/28/2007
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