Organization
PREMIUM HEALTH PROFESSIONALS LLC
Active
Other names
Vegas Children's Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEACE IBEKWE MD (OWNER)
(646) 491-3035
Entity
Organization
Contact information
Practice address
211 MEDIANOCHE ST, LAS VEGAS, NV 89138-6364
(646) 491-3035
Mailing address
211 MEDIANOCHE ST, LAS VEGAS, NV 89138-6364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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