Organization
VALLEY HEALTH PRACTICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LACOST (PROVIDER)
(702) 566-5343
Entity
Organization
Contact information
Practice address
6301 MOUNTAIN VISTA ST STE 204, HENDERSON, NV 89014-2366
(702) 566-5343
Mailing address
1155 E TWAIN AVE STE 108, LAS VEGAS, NV 89169-4216
(702) 566-5343
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/20/2020
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