Organization
FAYLONA, GOLLARD, KAUSHAL, NYAMUSWA & PARK LTD.
Active
Other names
Cancer & Blood Specialists of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL GOLLARD M.D. (PARTNER)
(702) 822-2000
Entity
Organization
Contact information
Practice address
2460 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2736
(702) 822-2000
(702) 938-2238
Mailing address
2460 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2736
(702) 822-2000
(702) 938-2238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509567
—
NV
01
—
CE1126
RAILROAD MEDICARE
NV
Enumeration date
08/11/2006
Last updated
01/14/2013
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