Organization
FORT APACHE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANUSH DAVTYAN (OWNER)
(702) 736-0049
Entity
Organization
Contact information
Practice address
6061 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-5540
(702) 736-0049
(702) 736-0095
Mailing address
6061 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-5540
(702) 736-0049
(702) 736-0095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
754266
NV
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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