A Third Hand
Organization Active NPI Surgical Physician Assistant · Las Vegas, NV
NPI 1487066072 · NPPES record last updated Jun 22, 2018
Key facts
- NPI
- 1487066072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Legal business name
- A THIRD HAND
- Practice address
- 9806 Red Deer St
Las Vegas, NV 89143 - Phone
- (702) 985-8297
- Fax
- (702) 478-9114
- NPI assigned
- May 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Ronald Lavor Moon, CSFA
- Title
- Owner
- Phone
- (702) 985-8297
Practitioners 1
-
Ronald Lavor Moon, CST/CSFA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant |
246ZC0007X | 132674 | NV | |
| Surgical Physician Assistant |
363AS0400X | Yes |
Addresses
Primary practice location
9806 Red Deer St
Las Vegas, NV 89143
Mailing address
9806 Red Deer St
Las Vegas, NV 89143-1155
Phone (702) 985-8297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132674 | Other | NV | NBSTSA # |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.