Organization
FOX & MALL, LTD
Active
Other names
Comprehensive Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RIVERA (MEDICAL ADMIN)
(702) 733-7966
Entity
Organization
Contact information
Practice address
7455 W WASHINGTON AVE, SUITE #400, LAS VEGAS, NV 89128-4337
(702) 733-7966
(702) 341-0504
Mailing address
7455 W WASHINGTON AVE, SUITE #400, LAS VEGAS, NV 89128-4337
(702) 733-7966
(702) 341-0504
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
1000795-650
NV
Other
Enumeration date
10/23/2006
Last updated
12/28/2022
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