Organization
VANGUARD HOSPITALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KOZLOWSKI RN (BOARD OF DIRECTORS)
(702) 728-4899
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD, 300, LAS VEGAS, NV 89107-1082
(702) 728-4899
(702) 446-6385
Mailing address
500 N RAINBOW BLVD, 300, LAS VEGAS, NV 89107-1082
(702) 728-4899
(702) 446-6385
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20131378078
STATE OF NEVADA
NV
Enumeration date
11/18/2013
Last updated
11/18/2013
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