Desert Family Medicine Of Green Valley | |
100 N Green Valley Pkwy Suite 210 Henderson NV 89074-6391 | |
(702) 269-9995 | |
(702) 944-4056 |
Full Name | Desert Family Medicine Of Green Valley |
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Speciality | Family Medicine |
Location | 100 N Green Valley Pkwy, Henderson, Nevada |
Authorized Official Name and Position | David S Gothelf (PRESIDENT) |
Authorized Official Contact | 7022699995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Desert Family Medicine Of Green Valley 100 N Green Valley Pkwy Suite 210 Henderson NV 89074-6391 Ph: (702) 269-9995 | Desert Family Medicine Of Green Valley 100 N Green Valley Pkwy Suite 210 Henderson NV 89074-6391 Ph: (702) 269-9995 |
NPI Number | 1508934977 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 04/19/2012 |
Identifier | Type | State | Issuer |
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1508934977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 479 (Nevada) | Secondary |
207Q00000X | Family Medicine | 1100 (Nevada) | Primary |
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