Organization
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Active
Other names
MedSchool Associates South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA J. PALMER MD (PRESIDENT)
(702) 992-6888
Entity
Organization
Contact information
Practice address
1707 W CHARLESTON BLVD, 230, LAS VEGAS, NV 89102-2351
(702) 671-5060
(702) 384-6609
Mailing address
PO BOX 29506, LAS VEGAS, NV 89126-9506
(702) 968-4371
(702) 671-5170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
Enumeration date
03/14/2007
Last updated
10/14/2015
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