Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Potruch, MD

Individual provider Surgery Physician · NPI 1649225293

Theodore Potruch, MD is a Surgery Physician in North las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2006.

Licensed in
NV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2123 Civic Center Dr
North las Vegas, NV 89030-6327
Phone: (702) 333-1110
Fax: (702) 685-0744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 3310 (NV)

Record details

NPI number1649225293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 6, 2018

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