Individual
DR. JAMES S FORAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
861 CORONADO CENTER DR, SUITE 200, HENDERSON, NV 89052-3992
(702) 896-0940
(702) 896-6173
Mailing address
PO BOX 95306, LAS VEGAS, NV 89193-5306
(702) 948-8897
(702) 549-3178
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10801
NV
207T00000X
Neurological Surgery Physician
29906
AZ
207T00000X
Neurological Surgery Physician
A65008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699732917
—
NV
05
—
635005
—
AZ
01
—
DL023Z
MEDICARE PTAN
NV
01
—
P00180750
RAILROAD MEDICARE
NV
Enumeration date
04/28/2006
Last updated
06/18/2021
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