Organization
RUCKDESCHEL MANNO, LTD. DBA
Active
Other names
Nevada Cancer Institute Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MANNO M.D. (INTERIM DIRECTOR)
(702) 822-5433
Entity
Organization
Contact information
Practice address
ONE BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 822-5433
(702) 944-0471
Mailing address
PO BOX 98809, LAS VEGAS, NV 89193-8809
(702) 822-5433
(702) 944-0471
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506879
—
NV
Enumeration date
07/26/2005
Last updated
06/16/2011
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