# AIRPORT MD - LAS VEGAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013249481
- **Authorized official:** JODI VANCE (MANAGER)
- **Authorized official phone:** (651) 439-8484

## Contact information

- **Practice address:** 5757 WAYNE NEWTON BLVD, LAS VEGAS, NV 89111-5000
- **Practice address phone:** (702) 261-4622
- **Mailing address:** 5757 WAYNE NEWTON BLVD, LAS VEGAS, NV 89111-5000
- **Mailing address phone:** (702) 261-4622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2010
- **Last updated:** 02/10/2010