Organization
EUGENE G. PORRECA, MD., LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE G PORRECA M.D. (MANAGING PARTNER)
(702) 869-4554
Entity
Organization
Contact information
Practice address
2655 BOX CANYON DR, #110, LAS VEGAS, NV 89128-1119
(702) 869-4554
(702) 796-9225
Mailing address
2655 BOX CANYON DR, #110, LAS VEGAS, NV 89128-1119
(702) 869-4554
(702) 796-9225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5987
NV
2086S0129X
Vascular Surgery Physician
5987
NV
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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