Organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Active
Other names
Intermountain Health Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH CLOWARD (REGION PRESIDENT)
(702) 216-3346
Entity
Organization
Contact information
Practice address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
170300000X
Genetic Counselor (M.S.)
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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