Intermountain Healthcare | |
4920 W Lone Mountain Rd Las Vegas NV 89130-2241 | |
(702) 655-0550 | |
(702) 655-0545 |
Full Name | Intermountain Healthcare |
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Speciality | Internal Medicine |
Location | 4920 W Lone Mountain Rd, Las Vegas, Nevada |
Authorized Official Name and Position | H Bard Coats (PRESIDENT) |
Authorized Official Contact | 7022163346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intermountain Healthcare Po Box 98978 Las Vegas NV 89193-8978 Ph: (702) 216-3346 | Intermountain Healthcare 4920 W Lone Mountain Rd Las Vegas NV 89130-2241 Ph: (702) 655-0550 |
NPI Number | 1114244464 |
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Provider Enumeration Date | 04/27/2010 |
Last Update Date | 03/23/2021 |
Identifier | Type | State | Issuer |
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1114244464 | NPI | - | NPPES |
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