Organization
BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION
Active
Parent organization
BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
Other names
UNLV General Practice Residency
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
Authorized official
MRS. LAURIE ANN EVANS MBA (DIRECTOR OF CLINICAL BUSINESS SVCS.)
(702) 774-2819
Entity
Organization
Contact information
Practice address
1707 W. CHARLESTON BLVD., SUITE 210, LAS VEGAS, NV 89102-2351
(702) 671-5175
(702) 474-9617
Mailing address
1001 SHADOW LANE, MS 7413, LAS VEGAS, NV 89106-4124
(702) 774-2400
(702) 774-2499
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202240
—
NV
Enumeration date
06/25/2006
Last updated
03/28/2014
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