Organization
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Active
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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