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2040 W Charleston Blvd Suite 202a Las Vegas NV 89102-2227 | |
| (702) 671-6475 | |
| (702) 671-6440 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2040 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | William A Zamboni (PRESIDENT) |
| Authorized Official Contact | 7026712222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1701 W Charleston Blvd Suite 215 Las Vegas NV 89102-2325 Ph: (702) 671-2395 | 2040 W Charleston Blvd Suite 202a Las Vegas NV 89102-2227 Ph: (702) 671-6475 |
| NPI Number | 1023443561 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023443561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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