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Organization

GREAT WEST MEDICAL ASSOCIATES CARROL LLP

Active
Other names
Great West Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD CARROL MD (PARTNER)
(702) 220-9865
Entity
Organization

Contact information

Practice address
3150 N TENAYA WAY, SUITE 525, LAS VEGAS, NV 89128-0443
(702) 220-9865
(702) 251-8196
Mailing address
PO BOX 34795, LAS VEGAS, NV 89133-4795
(702) 220-9865
(702) 251-8196

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750556940
NV
Enumeration date
04/28/2008
Last updated
06/22/2015
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