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Organization
VALLEY VASCULAR KHAN PC
Active
Organization
VALLEY VASCULAR KHAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HEWETT MD (ADMINISTRATOR)
(801) 386-4240
Entity
Organization
Contact information
Practice address
5785 S FORT APACHE RD STE B, LAS VEGAS, NV 89148-5629
(801) 386-4240
Mailing address
5785 S FORT APACHE RD STE B, LAS VEGAS, NV 89148-5629
(801) 386-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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