# INTEGRATED MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1205182292
- **Authorized official:** MARIA LOURDES YUVIENCO PECHO MS ECO (PRESIDENT)
- **Authorized official phone:** (702) 985-2533

## Contact information

- **Practice address:** 3230 S BUFFALO DR STE 105, LAS VEGAS, NV 89117-2506
- **Practice address phone:** (702) 985-2533
- **Practice address fax:** (702) 253-7288
- **Mailing address:** 3230 S BUFFALO DR STE 105, LAS VEGAS, NV 89117-2506
- **Mailing address phone:** (702) 985-2533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | NV20121441185 | NV | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 07/27/2012