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6301 Mountain Vista Street Suite 108 Henderson NV 89014 | |
(702) 454-1322 | |
(702) 454-1624 |
Full Name | |
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Speciality | Family Medicine |
Location | 6301 Mountain Vista Street, Henderson, Nevada |
Authorized Official Name and Position | Lawrence M. Allen (MANAGING PARTNER) |
Authorized Official Contact | 7023660640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3012 S Durango Dr Suite 2 Las Vegas NV 89117-9186 Ph: (702) 366-1655 | 6301 Mountain Vista Street Suite 108 Henderson NV 89014 Ph: (702) 454-1322 |
NPI Number | 1619126257 |
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Provider Enumeration Date | 09/18/2008 |
Last Update Date | 01/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619126257 | NPI | - | NPPES |
100501975 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Siena Hills Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0798 | |
The Doc's Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-997-7600 | |
Mark Day, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 N Pecos Rd Ste A, Henderson, NV 89074 Phone: 702-456-9100 Fax: 702-434-7354 |