Theodore Potruch in North Las Vegas - Surgery
Theodore Potruch - NPI 1649225293
Theodore Potruch is a Surgery in North Las Vegas, Nevada. Theodore Potruch practices all healthcare services and medical treatments related to Surgery. The NPI Number for Theodore Potruch is 1649225293. The last update date is 2018-03-06.
Theodore Potruch's current location address is 2123 Civic Center Dr, North Las Vegas, Nevada. You can contact this provider via phone number 7023331110 and fax number 7026850744. The mailing address for Theodore Potruch is 2123 Civic Center Dr, North Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Potruch |
|---|---|
| Address | 2123 Civic Center Dr, North Las Vegas, Nevada |
| Phone Number | 7023331110 |
| Fax Number | 7026850744 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649225293 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2018-03-06 |
Provider Mailing Address Detail
| Address | 2123 Civic Center Dr |
|---|---|
| City | North Las Vegas |
| State | Nevada (NV) |
| Post Code | 890306327 |
| Phone Number | 7023331110 |
| Fax Number | 7026850744 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 3310 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V50306 | NV | MEDICARE PTAN |
Post Comment/ Review Below
What is the Theodore Potruch's unique identification number?
The Theodore Potruch has been assigned the NPI (National Provider Identifier) Number 1649225293 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Theodore Potruch is physically located?
The Theodore Potruch is situated at the following address: 2123 Civic Center Dr, North Las Vegas, NV 890306327.
What is Theodore Potruch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodore Potruch is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649225293 to Theodore Potruch?
The Centers for Medicare & Medicaid Services originally issued the 1649225293 to Theodore Potruch on 2006-05-23.
When was the Theodore Potruch's information last updated?
The Theodore Potruch's information was last updated on 2018-03-06.