Organization
UNIVERSITY OF NV SCHOOL OF MEDICINE MUTLI SPECIALTY GROUP PRACTICE SO
Active
Other names
MedSchool Associates South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. ZAMBONI MD (PRESIDENT)
(702) 671-2278
Entity
Organization
Contact information
Practice address
1391 S JONES BLVD, LAS VEGAS, NV 89146-1200
(702) 486-6200
(702) 486-6368
Mailing address
PO BOX 98528, DEPT 401, LAS VEGAS, NV 89193-8528
(702) 671-2395
(702) 382-5388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8762
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
10440
NV
363L00000X
Nurse Practitioner
APN00227
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
10/15/2008
Last updated
10/15/2008
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