Organization
PAHRUMP MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAGNE ARIELLE R DUAVE (MANAGING MEMBER)
(702) 969-8785
Entity
Organization
Contact information
Practice address
1501 E CALVADA BLVD, PAHRUMP, NV 89048-5807
(702) 969-8785
Mailing address
1501 E CALVADA BLVD, PAHRUMP, NV 89048-5807
(702) 969-8785
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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