| Snow Medical Center Llc | |
|
4275 Burnham Ave Suite 235 Las Vegas NV 89119-5488 | |
| (702) 384-7669 | |
| (702) 385-7669 |
| Full Name | Snow Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4275 Burnham Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Evangelina U Snow (PRESIDENT) |
| Authorized Official Contact | 7023847669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snow Medical Center Llc Po Box 35048 Las Vegas NV 89133-5048 Ph: (702) 384-7669 | Snow Medical Center Llc 4275 Burnham Ave Suite 235 Las Vegas NV 89119-5488 Ph: (702) 384-7669 |
| NPI Number | 1356402143 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356402143 | NPI | - | NPPES |
| 100513342 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9875 (Nevada) | Primary |
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