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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