Organization
PROCARE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GANTZ (PRACTICE ADMINISTRATOR)
(702) 396-6000
Entity
Organization
Contact information
Practice address
6870 S RAINBOW BLVD, SUITE 106 & 107, LAS VEGAS, NV 89118-2106
(702) 396-6000
(702) 396-6001
Mailing address
6870 S RAINBOW BLVD, SUITE 106 & 107, LAS VEGAS, NV 89118-2106
(702) 396-6000
(702) 396-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12502
NV
261QU0200X
Urgent Care Clinic/Center
Primary
12502
NV
261QU0200X
Urgent Care Clinic/Center
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12502
LICENSE NUMBER
NV
Enumeration date
05/02/2008
Last updated
03/07/2023
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