Organization
AMERICAN FAMILY HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUN CHEN CLEGG (OWNER)
(970) 208-6767
Entity
Organization
Contact information
Practice address
4200 W CHARLESTON BLVD BLDG A, LAS VEGAS, NV 89102-1625
(970) 208-6767
Mailing address
4200 W CHARLESTON BLVD BLDG A, LAS VEGAS, NV 89102-1625
(970) 208-6767
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
227800000X
Certified Respiratory Therapist
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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