Organization
INTERVENTIONAL MEDICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN SCOTT MILLER DC (DIRECTOR)
(626) 399-6834
Entity
Organization
Contact information
Practice address
304 S JONES BLVD # 1454, LAS VEGAS, NV 89107-2623
(626) 399-6834
Mailing address
304 S JONES BLVD # 1454, LAS VEGAS, NV 89107-2623
(626) 399-6834
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588856868
MEDICARE
CA
Enumeration date
04/29/2021
Last updated
04/29/2021
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