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Organization
LAS VEGAS UROLOGY LLP
Active
Organization
LAS VEGAS UROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR E. GRIGORIEV MD (MNG MBR)
(702) 233-0727
Entity
Organization
Contact information
Practice address
7150 W SUNSET RD STE 202B, LAS VEGAS, NV 89113-1981
(702) 385-4342
(702) 385-4346
Mailing address
7150 W SUNSET RD STE 200, LAS VEGAS, NV 89113-1982
(702) 385-4342
(702) 385-4346
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
12/19/2005
Last updated
07/17/2024
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