East Russell Surgery Partners, Llc

Specialty details in registry · Las Vegas, NV

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At a glance

4050 E. Russell Rd, Las Vegas, NV 89120

NPPES record updated Sep 12, 2024. Public records can lag behind changes at a practice.

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Practice location

4050 E. Russell Rd Suite 100
Las Vegas, NV 89120

Professional details: NPI, taxonomy & registry record

NPI1861228124

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QA1903X
Enumeration date: Sep 12, 2024
Record updated: Sep 12, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QA1903X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4050 E. Russell Rd
Suite 100
Las Vegas, NV 89120

Phone: (702) 507-0983
Fax: (702) 839-1301

Mailing address

4454 N. DECATUR BLVD

LAS VEGAS, NV 89130

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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