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Organization
ALL STAR MEDICAL RESOURCES LLC
Active
Organization
ALL STAR MEDICAL RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJ REYES (CREDENTIALING)
(907) 891-7812
Entity
Organization
Contact information
Practice address
2626 S RAINBOW BLVD # 203A, LAS VEGAS, NV 89146-4005
(877) 420-6372
Mailing address
2626 S RAINBOW BLVD # 203A, LAS VEGAS, NV 89146-4005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
NULL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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