MEDICARE: VEGAS INJURY PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1346059136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEGAS INJURY PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	9033 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5745
Country	:	US
Telephone Number	:	702-478-1878
Fax Number	:	702-478-1856

Provider Business Practice Location Address
First Line	:	9033 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5745
Country	:	US
Telephone Number	:	702-478-1878
Fax Number	:	702-478-1856

Authorized Official
Title or Position	:	COO
Name	:	MS. MELISSA DOWDING
Credential	:
Telephone Number	:	702-767-0755

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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