| Dignity Health Medical Group Nevada Llc | |
|
8689 W Charleston Blvd Ste 105 Las Vegas NV 89117-5485 | |
| (702) 616-5801 | |
| Not Available |
| Full Name | Dignity Health Medical Group Nevada Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8689 W Charleston Blvd Ste 105, Las Vegas, Nevada |
| Authorized Official Name and Position | Melissa Walker (CFO) |
| Authorized Official Contact | 7026165507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Group Nevada Llc 2200 Paseo Verde Pkwy Ste 260 Henderson NV 89052-2703 Ph: (702) 616-5786 | Dignity Health Medical Group Nevada Llc 8689 W Charleston Blvd Ste 105 Las Vegas NV 89117-5485 Ph: (702) 616-5801 |
| NPI Number | 1356850440 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356850440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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