Organization
MAVIS N MATSUMOTO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAVIS N MATSUMOTO M.D. (OWNER)
(702) 992-4050
Entity
Organization
Contact information
Practice address
870 SEVEN HILLS DR, SUITE 102, HENDERSON, NV 89052-4377
(702) 992-4050
(702) 992-4052
Mailing address
870 SEVEN HILLS DR, SUITE 102, HENDERSON, NV 89052-4377
(702) 992-4050
(702) 992-4052
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
7825
NV
Other
Enumeration date
07/20/2011
Last updated
04/13/2012
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