Organization
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI-SPEC GRP PRACT SO
Active
Organization
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI-SPEC GRP PRACT SO
Active
Other names
MedSchool Associates South
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE HANSEN (CREDENTIALING SPECIALIST)
(702) 671-2395
Entity
Organization
Contact information
Practice address
2231 W CHARLESTON BLVD, 1ST FLOOR, LAS VEGAS, NV 89102-2254
(702) 676-3650
(702) 676-3635
Mailing address
1701 W CHARLESTON BLVD, SUITE 110, LAS VEGAS, NV 89102-2325
(702) 671-2211
(702) 380-2913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
08/14/2014
Last updated
08/14/2014
Update your record
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