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LAS VEGAS PAIN RELIEF CENTERS(RUSSO)PC NPI 1053754630


NPI Information

NPI: 1053754630
Provider Name: LAS VEGAS PAIN RELIEF CENTERS(RUSSO),PC

Doing Business As: LAS VEGAS PAIN RELIEF CENTER

Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
58 N PECOS RD
HENDERSON, NV
ZIP 89074
Phone: (702) 948-2520
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LAS VEGAS PAIN RELIEF CENTERS(RUSSO),PC is a sports medicine internal medicine in Henderson, NV. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. LAS VEGAS PAIN RELIEF CENTERS(RUSSO),PC NPI is 1053754630. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Las Vegas Pain Relief Center.

The provider's business location address is:

58 N PECOS RD
HENDERSON, NV
ZIP 89074-319
Phone: (702) 948-2520
Fax: (702) 948-2523

The provider's authorized official is Jon S Petrick .
The authorized official title is Clinical Director and has the following contact phone number (702) 948-2520.

The enumeration date for this NPI number is 4/12/2013 and was last updated on 3/2/2015.


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
1111NS0005XChiropractorSports PhysicianB00848NEVADANo
2207RS0010XInternal MedicineSports Medicine4511NEVADAYes

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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