Organization
CAPSULE ENDOSCOPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROME JUTABHA M.D. (MEDICAL DIRECTOR)
(702) 478-7941
Entity
Organization
Contact information
Practice address
9499 W CHARLESTON BLVD, SUITE 150, LAS VEGAS, NV 89117-7147
(702) 478-7941
(702) 478-7951
Mailing address
100 UCLA MEDICAL PLAZA, SUITE 310, LOS ANGELES, CA 90095-0001
(310) 825-5381
(310) 825-5390
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11774
NV
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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