Organization
MAMA MIA PEDIATRICS, LLC
Active
Parent organization
MAMA MIA PEDIATRICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAMA MIA PEDIATRICS, LLC
Authorized official
GABRIEL P CARPO M.D. (OWNER)
(702) 596-2293
Entity
Organization
Contact information
Practice address
1250 S EASTERN AVE, LAS VEGAS, NV 89104-2052
(702) 383-4001
(702) 383-4004
Mailing address
1250 S EASTERN AVE, LAS VEGAS, NV 89104-2052
(702) 383-4001
(702) 383-4004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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