Organization
LAS VEGAS COMPREHENSIVE PAIN MANAGEMENT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA HALL (CREDENTIALING CONTRACT SPECIALIST)
(619) 640-5555
Entity
Organization
Contact information
Practice address
8930 W SUNSET RD STE 350, LAS VEGAS, NV 89148-5042
(702) 463-8548
(702) 463-8384
Mailing address
8930 W SUNSET RD STE 350, LAS VEGAS, NV 89148-5042
(702) 463-8548
(702) 463-8384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
06/28/2021
Update your record
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