Healthcare Provider Details

I. General information

NPI: 1578508065
Provider Name (Legal Business Name): MOUNTAIN REHABILITATION SERVICES POINDEXTER & ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 01/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 BOX CANYON DR SUITE B
LAS VEGAS NV
89128-0419
US

IV. Provider business mailing address

PO BOX 34570
LAS VEGAS NV
89133-4570
US

V. Phone/Fax

Practice location:
  • Phone: 702-732-8558
  • Fax: 702-732-8568
Mailing address:
  • Phone: 702-732-8558
  • Fax: 702-732-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number6334
License Number StateNV

VIII. Authorized Official

Name: DR. CURTIS WAYNE POINDEXTER
Title or Position: OWNER
Credential: M.D.
Phone: 702-732-8558