| Theodore M. Thorp M.d., Prof Corp. | |
|
500 S Rancho Dr Suite D-13 Las Vegas NV 89106-4844 | |
| (702) 385-1818 | |
| (702) 385-7181 |
| Full Name | Theodore M. Thorp M.d., Prof Corp. |
|---|---|
| Speciality | General Practice |
| Location | 500 S Rancho Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Theodore M Thorp (PRESIDENT) |
| Authorized Official Contact | 7023851818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore M. Thorp M.d., Prof Corp. 500 S Rancho Dr Suite D-13 Las Vegas NV 89106-4844 Ph: (702) 385-1818 | Theodore M. Thorp M.d., Prof Corp. 500 S Rancho Dr Suite D-13 Las Vegas NV 89106-4844 Ph: (702) 385-1818 |
| NPI Number | 1265763791 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265763791 | NPI | - | NPPES |
| 002002078 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2979 (Nevada) | Primary |
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