Organization
SAGEBRUSH MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY PAN D.O. (MANAGER)
(702) 790-2211
Entity
Organization
Contact information
Practice address
3097 E WARM SPRINGS RD STE 400, LAS VEGAS, NV 89120-3757
(702) 790-2211
(702) 790-2316
Mailing address
3097 E WARM SPRINGS RD STE 400, LAS VEGAS, NV 89120-3757
(702) 790-2211
(702) 790-2316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2007
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81214000
TAX ID
—
Enumeration date
08/09/2016
Last updated
07/11/2024
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