Organization
MOUNTAIN WEST CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT G SIMONCELLI DC (OWNER/MANAGER)
(702) 256-8686
Entity
Organization
Contact information
Practice address
9034 W SAHARA AVE, LAS VEGAS, NV 89117-5744
(702) 256-8686
(702) 256-2206
Mailing address
9030 W SAHARA AVE, SUITE 1290, LAS VEGAS, NV 89117-5744
(702) 256-8686
(702) 256-2206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B458
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730390964
DR. ERIC J HOMA
NV
Enumeration date
05/16/2006
Last updated
08/22/2020
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