Organization
NEVADA SPORTS AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON SNEAD M.D. (MANAGER)
(702) 518-5774
Entity
Organization
Contact information
Practice address
6765 W CHARLESTON BLVD STE 150, LAS VEGAS, NV 89146-2001
(702) 800-8988
Mailing address
6765 W CHARLESTON BLVD STE 150, LAS VEGAS, NV 89146-2001
(702) 518-5774
(702) 852-0890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/23/2014
Last updated
11/01/2023
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