Theodore Potruch, MD

NPI #1447390646 in Las Vegas, Nevada

Provider Information

NPI Number: 1447390646
Entity Type: Organization
Organization Name: Theodore Potruch, MD
Primary Specialty: Surgery
Enumeration Date: Feb 7, 2007
Last Updated: Jan 15, 2008

Practice Location

Address: 2020 GOLDRING AVE
Address 2: #206
City: Las Vegas
State: Nevada
ZIP Code: 89106-4000
Phone: (702) 382-2273

Authorized Official

Name: DR. THEODORE POTRUCH, MD
Title: DIRECTOR
Phone: (702) 382-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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