Organization
JOHN M CLAIR DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
901 ADAMS BLVD, BOULDER CITY, NV 89005-2213
(702) 293-4111
Mailing address
6955 N DURANGO DR, SUITE 1115-298, LAS VEGAS, NV 89149-4411
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DO1452
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO1452
NV LICENSE
NV
Enumeration date
05/23/2012
Last updated
06/15/2012
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