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
WILLIAM A. ZAMBONI MD (PRESIDENT)
(702) 671-2278
Entity
Organization
Contact information
Practice address
1707 W CHARLESTON BLVD, 200, LAS VEGAS, NV 89102-2351
(702) 671-6475
(702) 671-5090
Mailing address
1707 W CHARLESTON BLVD, 200, LAS VEGAS, NV 89102-2351
(702) 671-6475
(702) 671-5090
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
7733
NV
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
9126
NV
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
PY0320
NV
2084P0800X
Psychiatry Physician
12160
NV
2084P0800X
Psychiatry Physician
7611
NV
2084P0800X
Psychiatry Physician
7733
NV
2084P0800X
Psychiatry Physician
9126
NV
2084P0800X
Psychiatry Physician
PY0320
NV
2084P0802X
Addiction Psychiatry Physician
12160
NV
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
7611
NV
2084P0805X
Geriatric Psychiatry Physician
PY320
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484 GROUP
—
NV
Enumeration date
04/20/2010
Last updated
04/20/2010
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