Organization
HEART MEDICAL GROUP
Active
Other names
Heart Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN OWYONG (AGENT)
(702) 235-5778
Entity
Organization
Contact information
Practice address
1210 S VALLEY VIEW BLVD, UNIT 102, LAS VEGAS, NV 89102
(702) 235-5778
Mailing address
1210 S VALLEY VIEW BLVD, UNIT 102, LAS VEGAS, NV 89102
(702) 235-5778
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
12/30/2019
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