Organization
PAHRUMP IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNE HAZELITT DO (PHYSICIAN)
(310) 408-0227
Entity
Organization
Contact information
Practice address
1397 S LOOP RD, PAHRUMP, NV 89048-4729
(775) 771-7570
Mailing address
5384 SPLENDIDO AVE, PAHRUMP, NV 89061-0144
(310) 408-0227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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