| Red Rock Family Clinic | |
|
2850 S Jones Blvd Ste 1 Las Vegas NV 89146-5640 | |
| (702) 910-2800 | |
| Not Available |
| Full Name | Red Rock Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2850 S Jones Blvd Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Nina Stefanova (OWNER) |
| Authorized Official Contact | 7029102800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Family Clinic 2850 S Jones Blvd Ste 1 Las Vegas NV 89146-5640 Ph: (702) 910-2800 | Red Rock Family Clinic 2850 S Jones Blvd Ste 1 Las Vegas NV 89146-5640 Ph: (702) 910-2800 |
| NPI Number | 1043784929 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 05/15/2023 |
| Medicare PECOS PAC ID | 0941620512 |
|---|---|
| Medicare Enrollment ID | O20201020002773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043784929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nina Stefanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992955769 PECOS PAC ID: 2062650120 Enrollment ID: I20150918002249 |
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