Organization
SUSAN R FERNANDEZ PC
Active
Other names
Horizon Ridge Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN R FERNANDEZ MD (PRESIDENT)
(702) 263-1908
Entity
Organization
Contact information
Practice address
6843 W TROPICANA AVE, SUITE 100, LAS VEGAS, NV 89103-4922
(702) 818-3303
(702) 263-0195
Mailing address
2621 W. HORIZON RIDGE PWKY, SUITE 100, HENDERSON, NV 89052
(702) 263-1908
(702) 263-0195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9740
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003102477
—
NV
Enumeration date
02/11/2015
Last updated
02/12/2015
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