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Organization

GEORGES TANNOURY MD PROFESSIONAL CORPORATION

Active
Other names
SPECIALTY MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGES Y TANNOURY MD (OWNER)
(775) 751-3377
Entity
Organization

Contact information

Practice address
1280 E CALVADA BLVD, PAHRUMP, NV 89048-5693
(775) 751-3377
(775) 751-2323
Mailing address
8550 W DESERT INN RD, STE 102-105, LAS VEGAS, NV 89117-4401
(775) 751-3377
(775) 751-2323

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100506247
NV
Enumeration date
08/12/2006
Last updated
03/13/2009
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