Organization
INTERVENTIONAL MEDICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN SCOTT MILLER DC (MANAGER)
(626) 399-6834
Entity
Organization
Contact information
Practice address
304 S JONES BLVD # 1454, LAS VEGAS, NV 89107-2623
(626) 399-6834
(702) 357-4415
Mailing address
304 S JONES BLVD # 1454, LAS VEGAS, NV 89107-2623
(626) 399-6834
(702) 357-4415
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19031
—
CA
Enumeration date
04/15/2021
Last updated
04/15/2021
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