Organization
OPTUM MEDICAL GROUP II RHODES P C
Active
Other names
Southwest Medical
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (MEDICAL STAFF SUPERVISOR)
(702) 480-2550
Entity
Organization
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
10/06/2023
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