| Southwest Physician Medical Diagnostic Center | |
|
7341 W Charleston Blvd Ste 170 Las Vegas NV 89117-1578 | |
| (702) 302-1460 | |
| Not Available |
| Full Name | Southwest Physician Medical Diagnostic Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7341 W Charleston Blvd Ste 170, Las Vegas, Nevada |
| Authorized Official Name and Position | Lauren Minter (AGENT) |
| Authorized Official Contact | 7022563637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Physician Medical Diagnostic Center Po Box 370127 Las Vegas NV 89137-0127 Ph: () - | Southwest Physician Medical Diagnostic Center 7341 W Charleston Blvd Ste 170 Las Vegas NV 89117-1578 Ph: (702) 302-1460 |
| NPI Number | 1467978692 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467978692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 8323 (Nevada) | Primary |
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