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Organization
FREMONT WOMEN'S HEALTH, LLC
Active
Organization
FREMONT WOMEN'S HEALTH, LLC
Active
Other names
Fremont Womens Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JON GREG GRIFFIN (CEO)
(702) 671-6800
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY, STE 635, LAS VEGAS, NV 89128-0443
(702) 870-2939
(702) 870-2826
Mailing address
PO BOX 612, LAS VEGAS, NV 89125-0612
(702) 671-6800
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
NULL
2471S1302X
Sonography Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507673
—
NV
Enumeration date
12/28/2005
Last updated
01/15/2009
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