Organization
PARADISE MEDICAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EGIDIO (PRACTICE MANAGER)
(702) 474-6300
Entity
Organization
Contact information
Practice address
2881 S VALLEY VIEW, SUITE 15, LAS VEGAS, NV 89102-0100
(702) 474-6300
(702) 974-0108
Mailing address
2881 S VALLEY VW, SUITE 15, LAS VEGAS, NV 89102-0100
(702) 474-6300
(702) 974-0108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M07-02190-1-080989
NV
Other
Enumeration date
03/15/2007
Last updated
07/29/2011
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