Organization
CLINICIANS MEDICAL GROUP LLC
Active
Organization
CLINICIANS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A LOPEZ DO (MEMBER)
(702) 292-1224
Entity
Organization
Contact information
Practice address
360 S LOLA LN, PAHRUMP, NV 89048-0884
(702) 292-1224
Mailing address
3022 S DURANGO DR, SUITE 100, LAS VEGAS, NV 89117-4439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0167
NV
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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