| Summit Medical Group Of Colorado Pc | |
|
1776 E Warm Springs Rd 208 Las Vegas NV 89119-4676 | |
| (702) 932-8547 | |
| (702) 932-8586 |
| Full Name | Summit Medical Group Of Colorado Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1776 E Warm Springs Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Malissa Thatcher (CREDENTIALING PERSON) |
| Authorized Official Contact | 7029328547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Group Of Colorado Pc 499 E Hampden Ave Englewood CO 80113-2780 Ph: (303) 689-0088 | Summit Medical Group Of Colorado Pc 1776 E Warm Springs Rd 208 Las Vegas NV 89119-4676 Ph: (702) 932-8547 |
| NPI Number | 1720015092 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720015092 | NPI | - | NPPES |
| 27077527 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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