Organization
MAMA MIA PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL P CARPO M.D. (OWNER)
(702) 596-2293
Entity
Organization
Contact information
Practice address
2315 E CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89030-8442
(702) 633-4000
(702) 633-4346
Mailing address
2315 E CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89030-8442
(702) 633-4000
(702) 633-4346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9543
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871675959
NPI
NV
Enumeration date
11/14/2010
Last updated
11/14/2010
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