Organization
BOULDER PRIMARY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA A SMITH (CORPORATE SECRETARY)
(702) 293-4488
Entity
Organization
Contact information
Practice address
1252 WYOMING ST, SUITE 200, BOULDER CITY, NV 89005-2745
(702) 293-4488
(702) 293-4487
Mailing address
1252 WYOMING ST, SUITE 200, BOULDER CITY, NV 89005-2745
(702) 293-4488
(702) 293-4487
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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