Organization
SILVER STATE FIELD MEDICAL GROUP, LLC
Active
Other names
Home Visiting Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELL JOHN NAVATA (OWNER)
(702) 913-9390
Entity
Organization
Contact information
Practice address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 913-9380
Mailing address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 913-9380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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