| Smoke Ranch Specialists Llc | |
|
7140 Smoke Ranch Rd Ste 150 Las Vegas NV 89128-3157 | |
| (702) 839-4825 | |
| (702) 998-2198 |
| Full Name | Smoke Ranch Specialists Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7140 Smoke Ranch Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Rosa Gonzalez (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7028394821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoke Ranch Specialists Llc 7140 Smoke Ranch Rd Ste 150 Las Vegas NV 89128-3157 Ph: (702) 839-4825 | Smoke Ranch Specialists Llc 7140 Smoke Ranch Rd Ste 150 Las Vegas NV 89128-3157 Ph: (702) 839-4825 |
| NPI Number | 1245782861 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245782861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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