Organization
JOINT REPLACEMENT CIN OF LAS VEGAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LELAND HUTTON EADIE (DIRECTOR)
(615) 733-2064
Entity
Organization
Contact information
Practice address
5550 PAINTED MIRAGE RD STE 320-A211, LAS VEGAS, NV 89149-4581
(615) 386-0064
(615) 386-0067
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
(615) 386-0067
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NV
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NV
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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