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6975 Aliante Pkwy # 101b North Las Vegas NV 89084-3192 | |
| (702) 867-0087 | |
| (702) 844-7117 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 6975 Aliante Pkwy # 101b, North Las Vegas, Nevada |
| Authorized Official Name and Position | April King (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4692215944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2460 Paseo Verde Pkwy Henderson NV 89074-7135 Ph: (702) 820-5713 | 6975 Aliante Pkwy # 101b North Las Vegas NV 89084-3192 Ph: (702) 867-0087 |
| NPI Number | 1366284143 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366284143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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