Organization
LAS VEGAS WOUND CARE CLINIC LLC
Active
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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