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Organization

JORGE BURGOS, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY E. FLATT (CREDENTIALING MANAGER)
(702) 463-9820
Entity
Organization

Contact information

Practice address
6440 SKY POINTE DR # 140-239, LAS VEGAS, NV 89131-4047
(702) 227-0022
Mailing address
1815 E LAKE MEAD BLVD STE 314, N LAS VEGAS, NV 89030-7193
(702) 227-0022
(702) 227-0084

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10622
NV

Other

Enumeration date
08/16/2016
Last updated
08/19/2016
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