Organization
NEVADA CHOICE MED INC
Active
Other names
professional diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D BROBYN M.D. (PRESIDENT)
(877) 437-2824
Entity
Organization
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(877) 437-2824
Mailing address
4075 S DURANGO DR, STE 111-26, LAS VEGAS, NV 89147-4163
(877) 437-2824
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
46D1024082
UT
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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