Organization
MEDCLINIC
Active
Organization
MEDCLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL MIRCHOU M.D. (CEO)
(702) 641-1240
Entity
Organization
Contact information
Practice address
7488 W SAHARA AVE, LAS VEGAS, NV 89117-2740
(702) 641-1240
Mailing address
7488 W SAHARA AVE, LAS VEGAS, NV 89117-2740
(702) 641-1240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9244
NV
261QM1300X
Multi-Specialty Clinic/Center
—
NV
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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