MEDICARE: LAS VEGAS NEUROSURGERY & SPINE CARE 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	207T00000X	Neurological Surgery Physician	7950	NV
2	207T00000X	Neurological Surgery Physician	10718	NV
3	207T00000X	Neurological Surgery Physician	6485	NV
4	207T00000X	Neurological Surgery Physician
5	207T00000X	Neurological Surgery Physician	6355	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770665002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS NEUROSURGERY & SPINE CARE LLC

Provider Business Mailing Address
First Line	:	8285 W ARBY AVE STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2236
Country	:	US
Telephone Number	:	702-737-7753
Fax Number	:	702-407-7066

Provider Business Practice Location Address
First Line	:	8285 W ARBY AVE STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2236
Country	:	US
Telephone Number	:	702-737-7753
Fax Number	:	702-407-7066

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DAWN MARIE BROWN
Credential	:
Telephone Number	:	702-737-7753

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	08/02/2023

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Directions to “LAS VEGAS NEUROSURGERY & SPINE CARE LLC ” Practice Location

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