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Organization

PORTNEY MEDICAL GROUP LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER LEON PORTNEY MD (MEDICAL DIRECTOR)
(702) 240-0874
Entity
Organization

Contact information

Practice address
9417 QUEEN CHARLOTTE DR, LAS VEGAS, NV 89145-8707
(702) 240-0874
(702) 240-3627
Mailing address
810 S DURANGO DR, SUITE 100, LAS VEGAS, NV 89145-2423
(702) 240-0874
(702) 240-3627

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9534
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100506921
NV
Enumeration date
06/04/2007
Last updated
12/03/2010
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