Organization
LAS VEGAS WOUND CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDSEL IWAY MD (PROVIDER)
(470) 363-3311
Entity
Organization
Contact information
Practice address
2855 S BRONCO ST, LAS VEGAS, NV 89146-5207
(470) 363-3311
Mailing address
2855 S BRONCO ST, LAS VEGAS, NV 89146-5207
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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