Organization
SUNRISE TRAUMA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN PERRITT (CFO)
(702) 731-8012
Entity
Organization
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109
(702) 731-8099
(702) 731-8292
Mailing address
3196 S MARYLAND PKWY, SUITE 101, LAS VEGAS, NV 89109
(702) 731-8099
(702) 731-8292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911728
—
AZ
01
—
DF4202
RAILROAD MEDICARE
—
05
—
XGG007690
—
CA
Enumeration date
02/22/2006
Last updated
02/20/2008
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