Organization
LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE
Active
Other names
RICHARD CHUDACOFF MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHUDACOFF MD (OWNER)
(702) 360-9630
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY, 270, LAS VEGAS, NV 89128-0443
(702) 798-3008
(702) 869-4763
Mailing address
3150 N TENAYA WAY, 270, LAS VEGAS, NV 89128-0443
(702) 798-3008
(702) 869-4763
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
12108
NV
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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