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Organization

FAYLONA, GOLLARD, KAUSHAL, NYAMUSWA & PARK LTD

Active
Other names
Cancer & Blood Specialists of Nevada
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL GOLLARD MD (PHYSICIAN/PARTNER)
(702) 822-2000
Entity
Organization

Contact information

Practice address
3150 N TENAYA WAY, STE 200, LAS VEGAS, NV 89128-0443
(702) 822-2000
(702) 938-2237
Mailing address
2460 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2648
(702) 822-2000
(702) 938-2237

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100509567
NV
Enumeration date
06/24/2013
Last updated
06/05/2014
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