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Organization

MEDICAL MARTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL GARRETT MATHEWSON (PAYER CONTRACTING)
(702) 562-0458
Entity
Organization

Contact information

Practice address
2685 S RAINBOW BLVD, SUITE 112, LAS VEGAS, NV 89146-5182
(702) 562-0458
(702) 562-9587
Mailing address
2685 S RAINBOW BLVD, SUITE 112, LAS VEGAS, NV 89146-5182
(702) 562-0458
(702) 562-9587

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/10/2006
Last updated
10/25/2007
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