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Organization
NV FIDELIS HALVORSON PC
Active
Organization
NV FIDELIS HALVORSON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN ALLEN HALVORSON M.D. (CEO)
(877) 408-2488
Entity
Organization
Contact information
Practice address
3960 HOWARD HUGHES PKWY, SUITE 500, LAS VEGAS, NV 89169-5972
(877) 408-2488
(866) 776-6641
Mailing address
3960 HOWARD HUGHES PKWY, SUITE 500, LAS VEGAS, NV 89169-5972
(877) 408-2488
(866) 776-6641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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