Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE POTRUCH, MD

Deactivated

General Surgery · NORTH LAS VEGAS, NV

This NPI has been deactivated. The record was deactivated on January 22, 2008. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1649225293
Provider Type: Individual
Gender: Male
NPI Issued: May 23, 2006 (1.6666666666667 yrs)
Last Updated: Mar 6, 2018
Deactivated: Jan 22, 2008
License: 3310 (NV)

Practice Information

Address: 2123 CIVIC CENTER DR

NORTH LAS VEGAS, NV, 890306327
Browse NV providers · Browse ZIP 89030
Phone: 7023331110
Fax: 7026850744
Primary Specialty: General Surgery
208600000X

Other General Surgery Providers in NORTH LAS VEGAS, NV

Name	Credential	NPI
DR. VICENTE D. NARCISO	M.D.	1477556553
JULIAN EMIL LOSANOFF	M.D.	1699711325
LUIS PANUNCIALMAN	M.D.,F.A.C.S.	1639180334
DR. CASSANDRA JOFFS	M.D.	1669485876
LAURIER JOSEPH TREMBLAY JR.	M.D.	1356522403
DR. JACLYN L. MUNN	M.D.	1144529785

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.