Organization
NEWPORT MATRIX LLC
Active
Organization
NEWPORT MATRIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PHAM MD (MEMBER)
(702) 369-7886
Entity
Organization
Contact information
Practice address
3022 S DURANGO DR, SUITE 100, LAS VEGAS, NV 89117-4439
(702) 256-3637
Mailing address
3022 S DURANGO DR, SUITE 100, LAS VEGAS, NV 89117-4439
(702) 256-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11052
NV
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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