Organization
PORFERIA D MONTESCLAROS, MD, LLC
Active
Other names
PORFERIA D MONTESCLAROS, MD
Organization subpart
No
Provider details
NPI number
Authorized official
PORFERIA D MONTESCLAROS MD (OWNER)
(702) 243-7607
Entity
Organization
Contact information
Practice address
6450 SPRING MOUNTAIN RD, SUITE 8, LAS VEGAS, NV 89146-8853
(702) 382-7878
(702) 248-9524
Mailing address
PO BOX 230146, LAS VEGAS, NV 89105-0146
(702) 382-7878
(702) 248-9524
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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