Organization
COMPREHENSIVE MEDICAL CENTER
Active
Other names
Pro Bono Humani LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RIVAS DO (CMO)
(702) 526-5078
Entity
Organization
Contact information
Practice address
98 E LAKE MEAD PKWY, # 301, HENDERSON, NV 89015
(702) 577-0543
(515) 583-4374
Mailing address
110 N BOULDER HWY, # 120-08, HENDERSON, NV 89015
(702) 577-0543
(515) 583-4374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0926
NV
208D00000X
General Practice Physician
0926
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018927
—
NV
Enumeration date
01/20/2006
Last updated
04/22/2008
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