# VALLEY PAIN & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720957111
- **Authorized official:** MR. RONALD LEE MOORE (MANAGER)
- **Authorized official phone:** (702) 430-1112

## Contact information

- **Practice address:** 2121 E FLAMINGO RD STE 208, LAS VEGAS, NV 89119-5124
- **Practice address phone:** (702) 430-1112
- **Practice address fax:** (702) 268-8950
- **Mailing address:** 2121 E FLAMINGO RD STE 208, LAS VEGAS, NV 89119-5124
- **Mailing address phone:** (725) 326-0451
- **Mailing address fax:** (702) 268-8950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2025
- **Last updated:** 11/03/2025