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6600 W Charleston Blvd Ste 111 Las Vegas NV 89146-1067 | |
| (702) 763-7443 | |
| (702) 763-7443 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Community Health |
| Location | 6600 W Charleston Blvd Ste 111, Las Vegas, Nevada |
| Authorized Official Name and Position | Chris Alden Doss (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7027637443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4170 S Decatur Blvd Ste D9 Las Vegas NV 89103-6815 Ph: (702) 763-7443 | 6600 W Charleston Blvd Ste 111 Las Vegas NV 89146-1067 Ph: (702) 763-7443 |
| NPI Number | 1417507443 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417507443 | NPI | - | NPPES |
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