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CENTENNIAL MEDICAL GROUP LLP NPI 1073619359


NPI Information

NPI: 1073619359
Provider Name: CENTENNIAL MEDICAL GROUP LLP
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
4454 N DECATUR BLVD
LAS VEGAS, NV
ZIP 89130
Phone: (702) 507-0996
Get Directions

CENTENNIAL MEDICAL GROUP LLP is an interventional pain medicine pain medicine in Las Vegas, NV. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CENTENNIAL MEDICAL GROUP LLP NPI is 1073619359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4454 N DECATUR BLVD
LAS VEGAS, NV
ZIP 89130
Phone: (702) 507-0996
Fax: (702) 507-0992

The provider's authorized official is David Lanzkowsky .
The authorized official title is Owner and has the following contact phone number (702) 839-1203.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 8/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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