Organization
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization
Contact information
Practice address
3131 LA CANADA ST STE 101, LAS VEGAS, NV 89169-2592
(702) 961-7310
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NV
207T00000X
Neurological Surgery Physician
—
NV
2084N0400X
Neurology Physician
Primary
—
NV
2086S0129X
Vascular Surgery Physician
—
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043402522
—
AZ
05
—
1043402522
—
CA
05
—
1043402522
—
NV
Enumeration date
08/17/2007
Last updated
01/02/2023
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