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. WILLIAM A. ZAMBONI MD (PRESIDENT)
(702) 671-2278
Entity
Organization
Contact information
Practice address
1707 W CHARLESTON BLVD, STE 170, LAS VEGAS, NV 89102-2351
(702) 671-2359
(702) 384-6592
Mailing address
1701 W CHARLESTON BLVD, #215, LAS VEGAS, NV 89102-2325
(702) 671-2395
(702) 382-5388
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
9547
NV
2086S0122X
Plastic and Reconstructive Surgery Physician
9547
NV
225XH1200X
Hand Occupational Therapist
0566
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
01
—
WQBHV
MEDICARE #
NV
Enumeration date
04/21/2009
Last updated
04/21/2009
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