Organization
SUMMIT PRIMARY CARE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TENESHIA DACHELL SPENCER (CEO)
(702) 476-0023
Entity
Organization
Contact information
Practice address
4440 S EASTERN AVE, LAS VEGAS, NV 89119-7825
(702) 476-0023
(702) 973-3477
Mailing address
4440 S EASTERN AVE, LAS VEGAS, NV 89119-7825
(702) 476-0023
(702) 973-3477
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134437114
VASCULAR NEUROLOGY
NV
Enumeration date
10/26/2017
Last updated
10/26/2017
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