Organization
VANESSA M. TAPIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY D JOHNSON M.D. (MEDICAL DIRECTOR)
(702) 777-7777
Entity
Organization
Contact information
Practice address
12345 LAS VEGAS BLVD, LAS VEGAS, NV 89107
(575) 649-2344
Mailing address
12345 LAS VEGAS BLVD, LAS VEGAS, NV 89107
(575) 649-2344
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
1122333455
NV
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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