Organization
DAVID VANSOMPHONE MD LTD
Active
Organization
DAVID VANSOMPHONE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCTS. MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
5375 S FORT APACHE RD, SUITE 101, LAS VEGAS, NV 89148-7623
(702) 597-1597
Mailing address
PO BOX 35984, LAS VEGAS, NV 89133-5984
(702) 597-1597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9448
NV
Other
Enumeration date
05/16/2007
Last updated
05/17/2010
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