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Organization

HOPE PEDIATRIC CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GALE KOCH (CO-OWNER)
(702) 492-0004
Entity
Organization

Contact information

Practice address
2610 WEST HORIZION RIDGE PARKWAY, SUITE 200, LAS VEGAS, NV 89052
(702) 735-4673
Mailing address
PO BOX 848330, BOSTON, MA 02284-8330
(702) 735-4673
(702) 735-4633

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10127
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002018847
NV
05
003102844
NV
Enumeration date
05/01/2008
Last updated
05/01/2008
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