Organization
INTEGRATED MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOURDES YUVIENCO PECHO MS ECO (PRESIDENT)
(702) 985-2533
Entity
Organization
Contact information
Practice address
3230 S BUFFALO DR STE 105, LAS VEGAS, NV 89117-2506
(702) 985-2533
(702) 253-7288
Mailing address
3230 S BUFFALO DR STE 105, LAS VEGAS, NV 89117-2506
(702) 985-2533
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NV20121441185
NV
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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