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1600 E Desert Inn Rd Ste 104 Las Vegas NV 89169-2505 | |
| (702) 208-2194 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1600 E Desert Inn Rd Ste 104, Las Vegas, Nevada |
| Authorized Official Name and Position | William Garner (OPERATIONS) |
| Authorized Official Contact | 7022082194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 E Desert Inn Rd Ste 104 Las Vegas NV 89169-2505 Ph: (702) 208-2194 | 1600 E Desert Inn Rd Ste 104 Las Vegas NV 89169-2505 Ph: (702) 208-2194 |
| NPI Number | 1295211126 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 8520 (Nevada) | Primary |
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