Provider Demographics
NPI:1306284872
Name:TOTAL ORTHOPEDICS LLC
Entity type:Organization
Organization Name:TOTAL ORTHOPEDICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF BUSINESS OPERATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-757-3643
Mailing Address - Street 1:9701 W FLAMINGO RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-5736
Mailing Address - Country:US
Mailing Address - Phone:702-252-8378
Mailing Address - Fax:702-242-0098
Practice Address - Street 1:9701 W FLAMINGO RD
Practice Address - Street 2:SUITE 4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-5736
Practice Address - Country:US
Practice Address - Phone:702-252-8378
Practice Address - Fax:702-242-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty