Organization
NOPAH VISTA EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS RONAN (VICE PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
360 SOUTH LOLA LANE, PAHRUMP, NV 89048
(775) 751-7500
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509205
—
NV
05
—
1396794095
—
NV
01
—
DE7891
RAILROAD
NV
Enumeration date
05/09/2006
Last updated
12/23/2013
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