Organization
CHARLESTON CHUA MD MEDICAL SPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLESTON CHUA MD (OWNER)
(702) 460-6009
Entity
Organization
Contact information
Practice address
4270 S DECATUR BLVD STE A1, LAS VEGAS, NV 89103-6801
(725) 529-2482
(725) 215-9015
Mailing address
4270 S DECATUR BLVD STE B1B, LAS VEGAS, NV 89103-6802
(725) 529-2482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
03/28/2025
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