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3860 W Lake Mead Blvd Ste 100 North Las Vegas NV 89032-5203 | |
(702) 673-5471 | |
(888) 481-1462 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3860 W Lake Mead Blvd Ste 100, North Las Vegas, Nevada |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | 3860 W Lake Mead Blvd Ste 100 North Las Vegas NV 89032-5203 Ph: (702) 673-5471 |
NPI Number | 1265211429 |
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Provider Enumeration Date | 09/27/2023 |
Last Update Date | 02/15/2024 |
Identifier | Type | State | Issuer |
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1265211429 | NPI | - | NPPES |
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