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Organization
RUCKDESCHEL MANNO, LTD. DBA
Active
Organization
RUCKDESCHEL MANNO, LTD. DBA
Active
Other names
Nevada Cancer Institute Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MANNO M.D. (INTERIM DIRECTOR)
(702) 822-5433
Entity
Organization
Contact information
Practice address
ONE BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 822-5433
(702) 944-0471
Mailing address
PO BOX 98809, LAS VEGAS, NV 89193-8809
(702) 822-5433
(702) 944-0471
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506879
—
NV
Enumeration date
07/26/2005
Last updated
06/16/2011
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