Organization
INTEGRATIVE FAMILY MEDICINE
Active
Parent organization
INTEGRATIVE FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE FAMILY MEDICINE
Authorized official
COREY A WACHS DC (CO-OWNER/CHIROPRACTOR)
(702) 562-8800
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR, #106, LAS VEGAS, NV 89113-1053
(702) 562-8800
(702) 562-0009
Mailing address
4955 S DURANGO DR, #106, LAS VEGAS, NV 89113-1053
(702) 562-8800
(702) 562-0009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
B00709
NV
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
9444
NV
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
585
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002088311
—
NV
Enumeration date
12/26/2006
Last updated
04/12/2010
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