Organization
ADVANCED HOUSE CALLS INC
Active
Other names
Advanced House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY K BRYAN M.D. (MEDICAL DIRECTOR)
(702) 838-7110
Entity
Organization
Contact information
Practice address
112 S JONES BLVD, LAS VEGAS, NV 89107-2614
(702) 838-7110
(702) 838-7112
Mailing address
112 S JONES BLVD, LAS VEGAS, NV 89107-2614
(702) 838-7110
(702) 838-7112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7997
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500402
—
NV
01
—
CJ6201
GROUP ID RR
NV
Enumeration date
07/02/2005
Last updated
11/02/2009
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