Organization
LORDS OF LOND
Active
Other names
GALAXY HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL D BUTLER MD (CEO)
(702) 630-8490
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, 114, LAS VEGAS, NV 89144-0514
(702) 910-6048
Mailing address
653 N TOWN CENTER DR, 114, LAS VEGAS, NV 89144-0514
(702) 910-6048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5642
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019344
—
NV
Enumeration date
12/11/2013
Last updated
12/11/2013
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