Organization
JSA PROFESSIONAL ASSOCIATION
Active
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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