Organization
DESERT PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REENA JOHN (MANAGING DIRECTOR)
(702) 878-9500
Entity
Organization
Contact information
Practice address
5233 S EASTERN AVE, LAS VEGAS, NV 89119-2311
(702) 878-9500
Mailing address
5233 S EASTERN AVE, LAS VEGAS, NV 89119-2311
(702) 878-9500
(702) 878-8993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
05/15/2023
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