South Hills Gastroenterology | |
2625 Wigwam Pkwy Suite 112 Henderson NV 89074-7325 | |
(702) 858-9328 | |
(702) 202-3455 |
Full Name | South Hills Gastroenterology |
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Speciality | Internal Medicine - Gastroenterology |
Location | 2625 Wigwam Pkwy, Henderson, Nevada |
Authorized Official Name and Position | Carmelo Herrero (MEMBER) |
Authorized Official Contact | 7028589328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Hills Gastroenterology 7365 Prairie Falcon Rd Suite 140 Las Vegas NV 89128-0807 Ph: (702) 202-3431 | South Hills Gastroenterology 2625 Wigwam Pkwy Suite 112 Henderson NV 89074-7325 Ph: (702) 858-9328 |
NPI Number | 1982876744 |
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Provider Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |
Identifier | Type | State | Issuer |
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1982876744 | NPI | - | NPPES |
1007181745 | Other | NV | BUSINESS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 8613 (Nevada) | Primary |
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