Organization
AZURE GUERRA PLLC
Active
Other names
Azure Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA RUSHING (CONSULTANT)
(702) 202-3431
Entity
Organization
Contact information
Practice address
1701 S BEARDEN DR, SUITE 201, LAS VEGAS, NV 89106
(702) 685-3428
(702) 476-9434
Mailing address
PO BOX 36605, LAS VEGAS, NV 89133
(702) 202-3431
(702) 202-3455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11608
NV
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
11608
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124341755
—
NV
Enumeration date
03/10/2010
Last updated
11/18/2011
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