Organization
NANA K ERICSSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANA K ERICSSON MD (OWNER/PHYSICIAN)
(702) 557-3221
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD, SUITE 313, LAS VEGAS, NV 89119-5190
(702) 577-3221
(702) 517-5807
Mailing address
2110 E FLAMINGO RD, SUITE 313, LAS VEGAS, NV 89119-5190
(702) 577-3221
(702) 517-5807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11476
NV
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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