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Organization

CLARK COUNTY MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FERDINAND DALOPE (CEO)
(702) 831-8993
Entity
Organization

Contact information

Practice address
2225 E FLAMINGO RD STE 100, LAS VEGAS, NV 89119-5126
(702) 831-8993
(702) 922-0404
Mailing address
3650 S EASTERN AVE STE 330, LAS VEGAS, NV 89169-3345
(702) 831-8993
(702) 922-0404

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NV
103K00000X
Behavior Analyst
Primary
NV
1041C0700X
Clinical Social Worker
NV
106H00000X
Marriage & Family Therapist
NV
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
NV

Other

Enumeration date
05/17/2018
Last updated
09/16/2018
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