Organization
KRISTENSEN FESTENESE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SALVATORE FESTENESE PA-C (MANAGER)
(702) 360-5194
Entity
Organization
Contact information
Practice address
8571 W LAKE MEAD BLVD, #120, LAS VEGAS, NV 89128
(702) 360-5194
Mailing address
8571 W LAKE MEAD BLVD, #120, LAS VEGAS, NV 89128
(702) 360-5194
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1002760224
NV
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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