Healthcare Provider Details

I. General information

NPI: 1750951448
Provider Name (Legal Business Name): LAS VEGAS CONCIERGE ORTHOPEDICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 03/07/2024
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9260 W SUNSET RD STE 200
LAS VEGAS NV
89148-4903
US

IV. Provider business mailing address

9260 W SUNSET RD STE 200
LAS VEGAS NV
89148-4903
US

V. Phone/Fax

Practice location:
  • Phone: 702-963-1231
  • Fax: 702-442-9309
Mailing address:
  • Phone: 702-963-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN SWANSON
Title or Position: BILLING MANAGER
Credential:
Phone: 702-683-1727