OrganizationActive
Las Vegas Pain Relief Centers(russo),pc
NPI 1053754630 · Sports Medicine (Internal Medicine) Physician · Henderson, NV
Provider details
- NPI number
- 1053754630
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Petrick, Clinical Director(702) 948-2520
- License
- B00848 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Practice location
58 N Pecos Rd
Henderson, NV 89074-7319
Phone: (702) 948-2520
Fax: (702) 948-2523
Approximate (ZIP-level) locationGet directions
Mailing address
58 N Pecos Rd
Henderson, NV 89074-7319
Other names (DBA / former)
- Doing business as
- Las Vegas Pain Relief Center
Registry dates
- Enumerated
- 2013-04-12
- Last updated
- 2015-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.