Organization
AV RESUELLO MEDICAL CORPORATION
Active
Organization
AV RESUELLO MEDICAL CORPORATION
Active
Other names
AV RESUELLO MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADELAIDA VALERIO RESUELLO MD (PRESIDENT)
(702) 385-4929
Entity
Organization
Contact information
Practice address
1300 S MARYLAND PKWY, LAS VEGAS, NV 89104-3310
(702) 385-4929
(702) 385-4457
Mailing address
1300 S MARYLAND PKWY, LAS VEGAS, NV 89104-3310
(702) 385-4929
(702) 385-4457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8004
NV
208000000X
Pediatrics Physician
8004
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019195
—
NV
Enumeration date
02/25/2013
Last updated
02/25/2013
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