Organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Active
Other names
Palace Station Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL CLOWARD (PRESIDENT)
(435) 668-4929
Entity
Organization
Contact information
Practice address
2580C TEDDY DRIVE, LAS VEGAS, NV 89102
(702) 968-3270
(702) 949-6202
Mailing address
2580C TEDDY DRIVE, LAS VEGAS, NV 89102
(702) 968-3270
(702) 949-6202
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
05/21/2024
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