Organization
THOR MONGIE D C LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY DOUGLAS (BILLER)
(702) 258-7860
Entity
Organization
Contact information
Practice address
2820 W CHARLESTON BLVD, #A6, LAS VEGAS, NV 89102-1942
(702) 258-7860
(702) 258-5487
Mailing address
2820 W CHARLESTON BLVD, #A6, LAS VEGAS, NV 89102-1942
(702) 258-7860
(702) 258-5487
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
B00981
NV
Other
Enumeration date
01/23/2008
Last updated
09/01/2010
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