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2080 E Calvada Blvd Suite 500 Pahrump NV 89048-6576 | |
(775) 751-2100 | |
(775) 751-2111 |
Full Name | |
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Speciality | Family Medicine - Obesity Medicine |
Location | 2080 E Calvada Blvd, Pahrump, Nevada |
Authorized Official Name and Position | Joan S. Leaks (PRESIDENT AND OWNER) |
Authorized Official Contact | 7757512100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2080 E Calvada Blvd Suite 500 Pahrump NV 89048-6576 Ph: (775) 751-2100 | 2080 E Calvada Blvd Suite 500 Pahrump NV 89048-6576 Ph: (775) 751-2100 |
NPI Number | 1457662611 |
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Provider Enumeration Date | 06/23/2010 |
Last Update Date | 06/23/2010 |
Identifier | Type | State | Issuer |
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1457662611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QB0002X | Family Medicine - Obesity Medicine | 5178 (Nevada) | Primary |
Ryse N Shine Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 S Highway 160, Unit 101, Pahrump, NV 89048 Phone: 760-382-5115 Fax: 702-825-7893 | |
Pahrump Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1280 E Calvada Blvd, Pahrump, NV 89048 Phone: 775-910-9811 Fax: 775-751-3056 |