Platinum Surgical Assosiates
Specialist/Technologist, Other, Surgical Assistant in North Las Vegas, NV. Organization (NPI-2).
NPI number1780129577
StatusActive
Last updated in NPPESJan 3, 2017
Details
- NPI
- 1780129577
- Entity type
- Organization (NPI-2)
- Legal business name
- Platinum Surgical Assosiates
- Organization subpart
- No
- Enumeration date
- Jan 3, 2017
- Last updated
- Jan 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 171630 | NV | Yes |
| 211D00000X | Assistant, Podiatric | 171630 | NV | |
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 171630 | NV |
Practice location
4140 Inglewood Point StNorth Las Vegas, NV 89032-1147
Phone 702-361-8571
Mailing address
4140 Inglewood Point StNorth Las Vegas, NV 89032-1147
Authorized official
Vern Vontrice Palmer
Ceo
7023258928
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