Chmm Pahrump Mso, Llc | |
360 S Lola Ln Pahrump NV 89048-0884 | |
(702) 449-9173 | |
Not Available |
Full Name | Chmm Pahrump Mso, Llc |
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Speciality | General Practice |
Location | 360 S Lola Ln, Pahrump, Nevada |
Authorized Official Name and Position | Tillie Andrade (MSO DIRECTOR) |
Authorized Official Contact | 7024499173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chmm Pahrump Mso, Llc 222 S Meramec Ave Ste 202 Saint Louis MO 63105-3514 Ph: () - | Chmm Pahrump Mso, Llc 360 S Lola Ln Pahrump NV 89048-0884 Ph: (702) 449-9173 |
NPI Number | 1417684713 |
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Provider Enumeration Date | 08/05/2022 |
Last Update Date | 08/08/2022 |
Identifier | Type | State | Issuer |
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1417684713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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