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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