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Organization
SNOW MEDICAL CENTER LLC
Active
Organization
SNOW MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANGELINA U SNOW M D (PRESIDENT)
(702) 384-7669
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE, SUITE 235, LAS VEGAS, NV 89119-5488
(702) 384-7669
(702) 385-7669
Mailing address
PO BOX 35048, LAS VEGAS, NV 89133-5048
(702) 384-7669
(702) 385-7669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9875
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100513342
—
NV
Enumeration date
12/13/2006
Last updated
10/25/2010
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