Individual
JOHN S THALGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S RANCHO DR STE 107, LAS VEGAS, NV 89106-4806
(702) 878-8370
(702) 259-1026
Mailing address
600 S RANCHO DR, #107, LAS VEGAS, NV 89106-4806
(702) 878-8370
(702) 878-9642
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5357
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002684
—
NV
01
—
04653023
BCBS
NV
Enumeration date
08/26/2005
Last updated
01/03/2020
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