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Organization

UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTISPECIALTY GROUP PRACTICE

Active
Other names
MedSchool Associates South
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA MURPHY (CONTRACTING / CREDENTIALING SPECIAL)
(775) 682-8175
Entity
Organization

Contact information

Practice address
4538 W CRAIG RD STE 290, NORTH LAS VEGAS, NV 89032-2511
(702) 486-5610
(702) 486-5630
Mailing address
4538 W CRAIG RD STE 290, NORTH LAS VEGAS, NV 89032-2511
(702) 486-5610
(702) 486-5630

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
163WP0808X
Psychiatric/Mental Health Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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