| Center For Liver And Digestive Disesease | |
|
7106 Smoke Ranch Rd Ste 120 Las Vegas NV 89128-8346 | |
| (702) 496-0991 | |
| (702) 877-6741 |
| Full Name | Center For Liver And Digestive Disesease |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 7106 Smoke Ranch Rd Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | J Julian Lopez (OWNER) |
| Authorized Official Contact | 7024960991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Liver And Digestive Disesease Po Box 35679 Las Vegas NV 89133-5679 Ph: (702) 496-0991 | Center For Liver And Digestive Disesease 7106 Smoke Ranch Rd Ste 120 Las Vegas NV 89128-8346 Ph: (702) 496-0991 |
| NPI Number | 1437235827 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437235827 | NPI | - | NPPES |
| NV0397 | Other | NV | BCBS ID |
| 002019037 | Medicaid | NV | |
| 100010704 | Other | NV | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 6073 (Nevada) | Primary |
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