Centerwell Senior Primary Care (Nv) Pc

Internal Medicine · Las Vegas, NV

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At a glance

4469 W Charleston Blvd, Las Vegas, NV 89102-1605

NPPES record updated Feb 15, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4469 W Charleston Blvd
Las Vegas, NV 89102-1605
Professional details: NPI, taxonomy & registry record
NPI1306625835
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Registry details

Primary taxonomy
Internal Medicine
Taxonomy code
207R00000X
Enumeration date
Sep 25, 2023
Record updated
Feb 15, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Family Medicine

207Q00000X

Internal Medicine

207R00000X · Primary

Specialty details in registry

207RI0011X

Specialty details in registry

208D00000X

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

Practice location

4469 W Charleston Blvd
Las Vegas, NV 89102-1605
Phone
(702) 832-4561
Fax
(210) 761-3397
Mailing address
4700 MILLENIA BLVD STE 650

ORLANDO, FL 328396013
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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