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630 S. Rancho, Ste. A Las Vegas NV 89106 | |
| (702) 998-9505 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 630 S. Rancho, Ste. A, Las Vegas, Nevada |
| Authorized Official Name and Position | Tracey Green (VICE DEAN OF CLINICAL AFFAIRS) |
| Authorized Official Contact | 7029989505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
630 S. Rancho, Ste. A Las Vegas NV 89106 Ph: (702) 998-9505 | 630 S. Rancho, Ste. A Las Vegas NV 89106 Ph: (702) 998-9505 |
| NPI Number | 1295288553 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295288553 | NPI | - | NPPES |
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