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Organization
EDMOND E PACK MD PC
Active
Organization
EDMOND E PACK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND E PACK MD (PRESIDENT)
(702) 734-1202
Entity
Organization
Contact information
Practice address
3201 S MARYLAND PKWY, SUITE 300, LAS VEGAS, NV 89109-2441
(702) 734-1202
(702) 734-8320
Mailing address
3201 S MARYLAND PKWY, SUITE 300, LAS VEGAS, NV 89109-2441
(702) 734-1202
(702) 734-8320
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9904
NV
Other
Enumeration date
02/07/2007
Last updated
12/19/2007
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