NPI 1073087680

Burn and Reconstructive Centers of Nevada, LLC

Organisation Specialist Las Vegas, NV

Practice location

Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317
Phone: (706) 863-9595
Fax: (706) 868-8375
Mailing address: PO Box 12357, Augusta, GA 30914-2357

Authorised official

Name: Shawn Fagan
Title: Owner/Md
Phone: (706) 863-9595

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Nevada →

Registry record

NPI: 1073087680
Entity type: Organization
NPI issued: 16 Jan 2019
Record last updated: 11 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.