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Organization

MARIETTA NELSON CHTD

Active
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Organization

MARIETTA NELSON CHTD

Active
Other names
Eye Clinic of Las Vegas
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NELSON NERVEZA LOPEZ DO (PHYSICIAN)
(702) 384-2020
Entity
Organization

Contact information

Practice address
3100 W CHARLESTON BLVD STE 204, LAS VEGAS, NV 89102-1996
(702) 384-2020
(702) 384-6371
Mailing address
3100 W CHARLESTON BLVD STE 204, LAS VEGAS, NV 89102-1996
(702) 384-2020
(702) 384-6371

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5471
NV

Other

Enumeration date
02/11/2016
Last updated
02/11/2016
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