Charleston Chua Md Medical Spa Pllc | |
4270 S Decatur Blvd Ste B1b Las Vegas NV 89103-6802 | |
(725) 529-2482 | |
(725) 215-9015 |
Full Name | Charleston Chua Md Medical Spa Pllc |
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Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 4270 S Decatur Blvd Ste B1b, Las Vegas, Nevada |
Authorized Official Name and Position | Charleston Chua (OWNER) |
Authorized Official Contact | 7024606009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charleston Chua Md Medical Spa Pllc 4270 S Decatur Blvd Ste B1b Las Vegas NV 89103-6802 Ph: (725) 529-2482 | Charleston Chua Md Medical Spa Pllc 4270 S Decatur Blvd Ste B1b Las Vegas NV 89103-6802 Ph: (725) 529-2482 |
NPI Number | 1013755362 |
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Provider Enumeration Date | 07/18/2024 |
Last Update Date | 07/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013755362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | (* (Not Available)) | Primary |
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