Organization
MAZOOLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RYAN LINDEN (OWNER/DIRECTOR)
(702) 937-3418
Entity
Organization
Contact information
Practice address
2725 S JONES BLVD STE 104, LAS VEGAS, NV 89146-5605
(702) 937-3418
Mailing address
2725 S JONES BLVD STE 104, LAS VEGAS, NV 89146-5605
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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