Provider Demographics
NPI:1497062905
Name:VERTECZ
Entity Type:Organization
Organization Name:VERTECZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:SALAMY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-480-3562
Mailing Address - Street 1:8653 DEERING BAY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1757
Mailing Address - Country:US
Mailing Address - Phone:702-480-3562
Mailing Address - Fax:702-363-4769
Practice Address - Street 1:8653 DEERING BAY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-1757
Practice Address - Country:US
Practice Address - Phone:702-480-3562
Practice Address - Fax:702-363-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1609052612OtherMEDICARE