Organization
SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILO TABORA JR. MD (MANAGING PARTNER)
(702) 968-0100
Entity
Organization
Contact information
Practice address
3301 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1835
(702) 968-0100
(702) 968-0104
Mailing address
3301 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1835
(702) 968-0100
(702) 968-0104
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9691
NV
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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