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Specialty details in registry · Las Vegas, NV
At a glance
2921 N Tenaya Way, Las Vegas, NV 89128-1409
NPPES record updated Jun 16, 2021. Public records can lag behind changes at a practice.
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Practice location
2921 N Tenaya WayLas Vegas, NV 89128-1409
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QR0208X
- Enumeration date
- Mar 23, 2015
- Record updated
- Jun 16, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QR0208X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2921 N Tenaya WayLas Vegas, NV 89128-1409
- Phone
- (702) 586-3005
- Fax
- (702) 586-3901
Mailing address
2921 N TENAYA WAYLAS VEGAS, NV 891281409
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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