Organization
JSA PROFESSIONAL ASSOCIATION
Active
Other names
Summit Medical Group and Healthcare Partners of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE W FRIEMAN DO (PRESIDENT, SECRETARY AND TREASURER)
(727) 824-0780
Entity
Organization
Contact information
Practice address
700 E WARM SPRINGS RD, SUITE 300, LAS VEGAS, NV 89119-4305
(702) 932-8547
(702) 932-8586
Mailing address
700 E WARM SPRINGS RD, SUITE 300, LAS VEGAS, NV 89119-4305
(702) 932-8500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509715
—
NV
Enumeration date
07/03/2006
Last updated
08/27/2008
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