Provider Demographics
NPI:1417277815
Name:DUKE NEUROSURGICAL
Entity Type:Organization
Organization Name:DUKE NEUROSURGICAL
Other - Org Name:THE SPINE AND BRAIN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-461-5277
Mailing Address - Street 1:861 CORONADO CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3992
Mailing Address - Country:US
Mailing Address - Phone:702-896-0940
Mailing Address - Fax:702-896-6173
Practice Address - Street 1:861 CORONADO CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3992
Practice Address - Country:US
Practice Address - Phone:702-896-0940
Practice Address - Fax:702-896-6173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty