Organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Active
Parent organization
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC
Other names
Tenaya Clinic- Hematology Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC
Authorized official
MITCH CLOWARD (REGION PRESIDENT)
(702) 216-3346
Entity
Organization
Contact information
Practice address
2650 N TENAYA WAY STE 201, LAS VEGAS, NV 89128
(702) 735-7154
(702) 869-8103
Mailing address
6355 S BUFFALO DR, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043533383
—
NV
05
—
1164541512
—
NV
05
—
1245997279
—
NV
Enumeration date
03/28/2007
Last updated
01/14/2025
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