Organization
PRIMARY CARE OF SOUTHER NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARAPET AYVAZYAN (OWNER)
(702) 703-8008
Entity
Organization
Contact information
Practice address
1681 E FLAMINGO RD STE 1B, LAS VEGAS, NV 89119-5274
(702) 703-8008
Mailing address
1681 E FLAMINGO RD STE 1B, LAS VEGAS, NV 89119-5274
(702) 703-8008
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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