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
ELISSA J. PALMER MD (PRESIDENT)
(702) 992-6888
Entity
Organization
Contact information
Practice address
522 E TWAIN AVE, LAS VEGAS, NV 89169-4905
(702) 671-2200
(702) 671-2233
Mailing address
PO BOX 29506, LAS VEGAS, NV 89126-9506
(702) 696-8437
(702) 671-5170
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
03/13/2007
Last updated
10/14/2015
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