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Organization

GOLDEN VICTORY MEDICAL

Active
Parent organization
GOLDEN VICTORY MEDICAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
GOLDEN VICTORY MEDICAL
Authorized official
ELIZABETH BROWN APRN (APRN/OWNER)
(952) 923-7256
Entity
Organization

Contact information

Practice address
2870 S MARYLAND PKWY STE 200, LAS VEGAS, NV 89109-1580
(702) 703-1950
Mailing address
2870 S MARYLAND PKWY STE 200, LAS VEGAS, NV 89109-1580
(702) 703-1950

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363LP2300X
Primary Care Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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