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Organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Active
Organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Active
Parent organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Other names
San Martin Clinic, Healthcare Partners Medical Group, Intermountain Healthcare, Intermountain Health Cancer Center - Badura Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Authorized official
MITCH CLOWARD (REGION PRESIDENT)
(702) 216-3346
Entity
Organization
Contact information
Practice address
8350 W. BADURA AVENUE, 1ST FL, LAS VEGAS, NV 89113
(702) 968-7211
(702) 405-1860
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
04/10/2007
Last updated
05/29/2026
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