| Fort Apache Medical Center | |
|
6061 S Fort Apache Rd Suite 120 Las Vegas NV 89148-5540 | |
| (702) 736-0049 | |
| (702) 736-0095 |
| Full Name | Fort Apache Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6061 S Fort Apache Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Anush Davtyan (OWNER) |
| Authorized Official Contact | 7027360049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Apache Medical Center 6061 S Fort Apache Rd Suite 120 Las Vegas NV 89148-5540 Ph: (702) 736-0049 | Fort Apache Medical Center 6061 S Fort Apache Rd Suite 120 Las Vegas NV 89148-5540 Ph: (702) 736-0049 |
| NPI Number | 1376736934 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376736934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 754266 (Nevada) | Primary |
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