Organization
RED ROCK AT MARYLAND PARKWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELLE HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
3061 SOUTH MARYLAND PARKWAY, STE 102, LAS VEGAS, NV 89109-2298
(702) 942-4119
(702) 942-4134
Mailing address
3061 SOUTH MARYLAND PARKWAY, STE 102, LAS VEGAS, NV 89109-2298
(702) 942-4119
(702) 942-4134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
09/06/2007
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