Organization
NEVADA PERIPHERAL NERVE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIP WALLACE (MANAGER)
(702) 606-4246
Entity
Organization
Contact information
Practice address
3802 MEADOWS LN, LAS VEGAS, NV 89107-3123
(702) 606-4246
Mailing address
2620 S MARYLAND PKWY # 157, LAS VEGAS, NV 89109-8300
(702) 606-4246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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