Organization
LAS VEGAS URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M GURULE (CREDENTIALING CORRDINATOR)
(505) 474-6097
Entity
Organization
Contact information
Practice address
600 MILLS AVE STE B, LAS VEGAS, NM 87701-4669
(505) 425-2673
(505) 425-3086
Mailing address
600 MILLS AVE STE B, LAS VEGAS, NM 87701-4669
(505) 425-2673
(505) 425-3086
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
CNP00739
NM
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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