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1701 W Charleston Blvd 610 Las Vegas NV 89102-2325 | |
| (702) 671-5089 | |
| (702) 671-5197 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1701 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | William A Zamboni (PRESIDENT) |
| Authorized Official Contact | 7026712278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 98528 Las Vegas NV 89193-8528 Ph: (702) 671-6423 | 1701 W Charleston Blvd 610 Las Vegas NV 89102-2325 Ph: (702) 671-5089 |
| NPI Number | 1073783155 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073783155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Nevada) | Primary |
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (Nevada) | Secondary |
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