Organization
INNOVATIVE CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN GOLDSMITH MD (OWNER)
(702) 960-5762
Entity
Organization
Contact information
Practice address
5506 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-7673
(702) 533-4484
Mailing address
5375 S FORT APACHE RD STE 102, LAS VEGAS, NV 89148-7624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/16/2023
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