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Organization

RED ROCK AT MARYLAND PARKWAY LLC

Active
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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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