Organization
RM STAFFING LLC
Active
Other names
PROVIDERS HEALTH NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL MIRCHOU M.D. (MANAGING MEMBER)
(702) 399-2345
Entity
Organization
Contact information
Practice address
869 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 399-2345
(702) 399-1877
Mailing address
869 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 399-2345
(702) 399-1877
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NV20101815113
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851473938
—
NV
Enumeration date
12/06/2011
Last updated
12/06/2011
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