Organization
CENTER FOR DIAGNOSTICS
Active
Parent organization
FAMILY DOCTORS OF BOULDER CITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY DOCTORS OF BOULDER CITY
Authorized official
HERVE BEZARD MD (MD)
(702) 293-0406
Entity
Organization
Contact information
Practice address
895 ADAMS BLVD, BOULDER CITY, NV 89005
(702) 293-0406
(702) 293-0192
Mailing address
895 ADAMS BLVD, BOULDER CITY, NV 89005
(702) 293-0406
(702) 293-0192
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
0304053601
NV
2471M2300X
Mammography Radiologic Technologist
0354053602
NV
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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