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Organization
INTEGRATIVE FAMILY MEDICINE
Active
Organization
INTEGRATIVE FAMILY MEDICINE
Active
Parent organization
INTEGRATIVE FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE FAMILY MEDICINE
Authorized official
COREY A WACHS DC (CO-OWNER/CHIROPRACTOR)
(702) 562-8800
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR, #106, LAS VEGAS, NV 89113-1053
(702) 562-8800
(702) 562-0009
Mailing address
4955 S DURANGO DR, #106, LAS VEGAS, NV 89113-1053
(702) 562-8800
(702) 562-0009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
B00709
NV
207Q00000X
Family Medicine Physician
Primary
9444
NV
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
585
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002088311
—
NV
Enumeration date
12/26/2006
Last updated
04/12/2010
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