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6450 Spring Mountain Rd Suite 8 Las Vegas NV 89146-8853 | |
(702) 382-7878 | |
(702) 248-9524 |
Full Name | |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 6450 Spring Mountain Rd, Las Vegas, Nevada |
Authorized Official Name and Position | Porferia D Montesclaros (OWNER) |
Authorized Official Contact | 7022437607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 230146 Las Vegas NV 89105-0146 Ph: (702) 382-7878 | 6450 Spring Mountain Rd Suite 8 Las Vegas NV 89146-8853 Ph: (702) 382-7878 |
NPI Number | 1144266537 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1144266537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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