Organization
REDROCK RENAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GALEN ROBERT BENNETT BMBA (ADMINISTRATOR, CEO)
(702) 586-0007
Entity
Organization
Contact information
Practice address
5751 S FORT APACHE RD, SUITE 110, LAS VEGAS, NV 89148-5624
(702) 586-0007
(702) 586-0009
Mailing address
5751 S FORT APACHE RD, SUITE 110, LAS VEGAS, NV 89148-5624
(702) 586-0007
(702) 586-0009
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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