Organization
INSTITUTE OF ORTHOPAEDIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PENDLETON (ADMINISTRATOR)
(702) 731-1616
Entity
Organization
Contact information
Practice address
2800 E DESERT INN RD, SUITE 150, LAS VEGAS, NV 89121-3608
(702) 735-7355
(702) 735-7966
Mailing address
PO BOX 92212, LAS VEGAS, NV 89193-2212
(702) 735-7355
(702) 735-7966
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3303ASC-7
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004602200
—
NV
01
—
V38027
MEDICARE ID - TYPE UNSPECIFIED
—
Enumeration date
01/09/2006
Last updated
10/09/2023
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