Organization
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
Active
Other names
Boulder Station Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELL CLOWARD (PRESIDENT)
(435) 668-4929
Entity
Organization
Contact information
Practice address
4003 BOULDER HIGHWAY, LAS VEGAS, NV 89121
(702) 968-3265
Mailing address
4003 BOULDER HIGHWAY, LAS VEGAS, NV 89121
(702) 968-3265
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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