Organization
SAPPHIRE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY CHRISTIANSEN (PRESIDENT)
(702) 767-7180
Entity
Organization
Contact information
Practice address
3650 S EASTERN AVE STE 330, LAS VEGAS, NV 89169-3345
(702) 767-7180
Mailing address
3650 S EASTERN AVE STE 330, LAS VEGAS, NV 89169-3345
(702) 767-7180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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