Organization
EDDIEPMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ROBINSON (OFFICE MANAGER)
(702) 386-0909
Entity
Organization
Contact information
Practice address
601 S RANCHO DR, STE 6, LAS VEGAS, NV 89106-4899
(702) 386-0909
(702) 386-0707
Mailing address
601 S RANCHO DR, STE 6, LAS VEGAS, NV 89106-4899
(702) 386-0909
(702) 386-0707
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8581
NV
Other
Enumeration date
10/19/2016
Last updated
11/14/2018
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