Organization
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Active
Other names
MedSchool Associates South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA J PALMER MD (PRESIDENT)
(702) 992-6888
Entity
Organization
Contact information
Practice address
1707 W CHARLESTON BLVD, 110B, LAS VEGAS, NV 89102-2351
(702) 968-4363
(702) 671-0193
Mailing address
PO BOX 29506, LAS VEGAS, NV 89126-9506
(702) 968-4371
(702) 671-5170
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
—
—
207SG0202X
Clinical Biochemical Genetics Physician
—
—
207SG0203X
Clinical Molecular Genetics Physician
—
—
207SG0205X
Ph.D. Medical Genetics Physician
—
—
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
03/14/2007
Last updated
10/14/2015
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