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NPI Code Detail

MEDICARE: VIP SPINE LLC

MEDICARE: VIP SPINE 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
1261QP3300XPain Clinic/Center

General Provider Information

NPI Number : 1689468308
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIP SPINE LLC
Provider Business Mailing Address
First Line : 7455 W AZURE DR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-4431
Country : US
Telephone Number : 702-765-4222
Fax Number : 702-718-6652
Provider Business Practice Location Address
First Line : 7455 W AZURE DR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-4431
Country : US
Telephone Number : 702-765-4222
Fax Number : 702-718-6652
Authorized Official
Title or Position : OWNER/OPERATOR
Name : DR. RODNEY SPENCER SMITH
Credential : MD
Telephone Number : 702-765-4222
Provider Enumeration Date : 04/07/2025
Last Update Date : 11/13/2025

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Directions to “VIP SPINE LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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