Organization
SOUTHWEST MEDICAL ASSOCIATS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE CANDLER (MANAGER)
(702) 579-3212
Entity
Organization
Contact information
Practice address
8670 W CHEYENNE AVE, SUITE 105, LAS VEGAS, NV 89129-7456
(702) 877-8660
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-8660
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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