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Organization

ZANE MEDICAL GROUP LLC

Active
Other names
zane medical group llc, Zane Behavioral Services
Organization subpart
No

Provider details

NPI number
Authorized official
SUSSAN SIH FUNG (AGENT)
(702) 802-2011
Entity
Organization

Contact information

Practice address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 802-2011
(702) 920-8226
Mailing address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 802-2011
(702) 920-8226

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250000654
NV
Enumeration date
10/20/2020
Last updated
09/01/2022
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