Organization
ENSIGN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD F WHITE M.D. (OWNER/PHYSICIAN)
(702) 951-3400
Entity
Organization
Contact information
Practice address
5771 S FORT APACHE RD, SUITE #100, LAS VEGAS, NV 89148-5626
(702) 951-3400
(702) 951-3403
Mailing address
5771 S FORT APACHE RD, SUITE #100, LAS VEGAS, NV 89148-5626
(702) 951-3400
(702) 951-3403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10240
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018784
—
NV
Enumeration date
05/21/2008
Last updated
12/06/2010
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