Organization
LAS VEGAS GASTROENTEROLOGY ASSOCIATE LLC
Active
Organization
LAS VEGAS GASTROENTEROLOGY ASSOCIATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEDAYO MOKUOLOU MD (MANAGING MEMBER)
(702) 641-4220
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY STE 525, LAS VEGAS, NV 89128-0465
(702) 641-4220
(702) 966-2440
Mailing address
2700 LAS VEGAS BLVD S UNIT 3201, LAS VEGAS, NV 89109-1169
(702) 641-4200
(702) 966-2440
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
03/15/2013
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