Theodore M. Thorp M.d., Prof Corp.

NPI 1265763791 - General Practice - 208D00000X

NPI Details
NPI 1265763791
Enumeration Date 01/22/2010
Last Updated 01/22/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THEODORE M THEODORE
Position PRESIDENT
Phone (702) 385-1818
Fax (702) 385-7181
Practice Location
500 S RANCHO DR
SUITE D-13
LAS VEGAS NV, 89106-4844, US
Phone (702) 385-1818
Fax (702) 385-7181
Business Location
500 S RANCHO DR
SUITE D-13
LAS VEGAS NV, 89106-4844, US
Phone (702) 385-1818
Fax (702) 385-7181
Toxanomy
Taxonomy Code 208D00000X
License State Nevada
License Number 2979
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According to our database, Theodore M. Thorp M.d., Prof Corp. NPI is 1265763791, taxonomy code is 208D00000X and license number is 2979, license state is located at Nevada. Theodore M. Thorp M.d., Prof Corp. physically located at 500 S Rancho Dr, Las Vegas NV, 89106-4844. NPI Number 1033115704 has the healthcare provider type.

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1265763791 NPI number is provided on an as is basis without warranty of any kind. 1265763791 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore M. Thorp M.d., Prof Corp. are for informational purposes only.