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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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