| Independent Medical Group, Llc | |
|
1320 E Calvada Blvd Pahrump NV 89048-5692 | |
| (775) 751-6111 | |
| (775) 751-3056 |
| Full Name | Independent Medical Group, Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1320 E Calvada Blvd, Pahrump, Nevada |
| Authorized Official Name and Position | Michael D. Reiner (MANAGER) |
| Authorized Official Contact | 7757516111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Medical Group, Llc Po Box 1309 Pahrump NV 89041-1309 Ph: (775) 751-6111 | Independent Medical Group, Llc 1320 E Calvada Blvd Pahrump NV 89048-5692 Ph: (775) 751-6111 |
| NPI Number | 1942843859 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942843859 | NPI | - | NPPES |
| 2012042 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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