MEDICARE: ORTHOPAEDIC SOLUTIONS 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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1508114794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	10105 BANBURRY CROSS DR
Second Line	:	SUITE 445
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-6646
Country	:	US
Telephone Number	:	702-475-4390
Fax Number	:	702-475-4390

Provider Business Practice Location Address
First Line	:	330 S LOLA LN
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-0878
Country	:	US
Telephone Number	:	702-475-4390
Fax Number	:	720-475-4390

Authorized Official
Title or Position	:	CEO
Name	:	JOSEPH YU
Credential	:	MD
Telephone Number	:	702-475-4390

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

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Directions to “ORTHOPAEDIC SOLUTIONS LLC ” Practice Location

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