Organization
FREMONT WOMEN'S HEALTH, LLC
Active
Other names
Fremont Womens Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JON GREG GRIFFIN (CEO)
(702) 671-6800
Entity
Organization
Contact information
Practice address
3196 S MARYLAND PKWY, SUITE 303, LAS VEGAS, NV 89109-2305
(702) 383-2919
(702) 383-2886
Mailing address
PO BOX 612, LAS VEGAS, NV 89125-0612
(702) 671-6800
(702) 671-6855
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501006
—
NV
Enumeration date
12/27/2005
Last updated
01/15/2009
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