Organization
ROSENBERG INITIATIVE
Active
Other names
Rosenberg Initiative Clinic on Wheels
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON S LINE (CHIEF OPERATIONS OFFICER)
(702) 232-0833
Entity
Organization
Contact information
Practice address
929 VINCENT WAY, LAS VEGAS, NV 89145-6105
(702) 468-2686
(702) 852-0441
Mailing address
PO BOX 46682, LAS VEGAS, NV 89114-6682
(702) 468-2686
(702) 852-0441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
11/12/2024
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