Organization
SOUTH HILLS GASTROENTEROLOGY LLP
Active
Organization
SOUTH HILLS GASTROENTEROLOGY LLP
Active
Other names
South Hills Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELO HERRERO MD (MEMBER)
(702) 858-9328
Entity
Organization
Contact information
Practice address
2625 WIGWAM PKWY, SUITE 112, HENDERSON, NV 89074-7325
(702) 858-9328
(702) 202-3455
Mailing address
7365 PRAIRIE FALCON RD, SUITE 140, LAS VEGAS, NV 89128-0807
(702) 202-3431
(702) 202-3455
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8613
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007181745
BUSINESS LICENSE
NV
Enumeration date
04/01/2008
Last updated
04/01/2008
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