State Of Nevada - Dwtc

Specialty details in registry · Las Vegas, NV

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At a glance

6171 W Charleston Blvd Bldg 17, Las Vegas, NV 89146-1126

NPPES record updated Aug 5, 2026. Public records can lag behind changes at a practice.

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Practice location

6171 W Charleston Blvd Bldg 17
Las Vegas, NV 89146-1126
Professional details: NPI, taxonomy & registry record
NPI1275600629
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
283Q00000X
Enumeration date
Nov 29, 2006
Record updated
Aug 5, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

283Q00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6171 W Charleston Blvd Bldg 17
Las Vegas, NV 89146-1126
Phone
(702) 486-8900
Fax
(702) 486-6307
Mailing address
500 E WARM SPRINGS RD STE 100

LAS VEGAS, NV 891194345
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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