Organization
1STAID CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY KIDIAVAYI (AUTHORIZED OFFICIAL)
(702) 761-6457
Entity
Organization
Contact information
Practice address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 761-6457
Mailing address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 761-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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