Organization
PLATINUM SURGICAL ASSISTANTS OF LAS VEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERN VONTRICE PALMER CSFA (CEO)
(702) 325-8928
Entity
Organization
Contact information
Practice address
4140 INGLEWOOD POINT ST, NORTH LAS VEGAS, NV 89032-1147
(702) 325-8928
Mailing address
4140 INGLEWOOD POINT ST, NORTH LAS VEGAS, NV 89032-1147
(702) 325-8928
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
—
—
156FX1101X
Ophthalmic Assistant
171630
NV
246ZC0007X
Surgical Assistant
Primary
171630
NV
246ZC0007X
Surgical Assistant
171630
—
246ZS0410X
Surgical Technologist
171630
NV
246ZX2200X
Orthopedic Assistant
171630
NV
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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