Organization
PPM NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TUELLER (CORPORATE SECRETARY)
(208) 401-1400
Entity
Organization
Contact information
Practice address
3610 S NEVADA HIGHWAY 160, PAHRUMP, NV 89048-4805
(888) 253-6598
(801) 931-2263
Mailing address
1916 N 700 W STE 110, LAYTON, UT 84041-5754
(888) 253-6598
(801) 931-2263
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/09/2025
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