Organization
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Active
Other names
MedSchool Associates South
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA J. PALMER M.D. (PRESIDENT)
(702) 992-6888
Entity
Organization
Contact information
Practice address
1701 W CHARLESTON BLVD, #110, LAS VEGAS, NV 89102-2325
(702) 671-2395
(702) 382-5388
Mailing address
PO BOX 29506, LAS VEGAS, NV 89126-9506
(702) 671-2330
(702) 671-5170
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
170300000X
Genetic Counselor (M.S.)
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207SG0205X
Ph.D. Medical Genetics Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
363L00000X
Nurse Practitioner
—
NV
367A00000X
Advanced Practice Midwife
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
12/29/2005
Last updated
10/14/2015
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