Organization
FAMILY TREE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GUMINA MD (OWNER)
(702) 947-1000
Entity
Organization
Contact information
Practice address
3510 E TROPICANA AVE, STE # K, LAS VEGAS, NV 89121-7341
(702) 947-1000
(702) 947-1001
Mailing address
PO BOX 231930, LAS VEGAS, NV 89105-1930
(702) 947-1000
(702) 947-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9897
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018528
—
NV
Enumeration date
07/28/2006
Last updated
04/30/2013
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