| Swanlake Medical Center | |
|
3330 S Hualapai Way Suite #120 Las Vegas NV 89117-7716 | |
| (702) 765-5253 | |
| (702) 765-5354 |
| Full Name | Swanlake Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 S Hualapai Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Victor R Bruce (PRESIDENT) |
| Authorized Official Contact | 7027655253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swanlake Medical Center 3330 S Hualapai Way Suite #120 Las Vegas NV 89117-7716 Ph: (702) 765-5253 | Swanlake Medical Center 3330 S Hualapai Way Suite #120 Las Vegas NV 89117-7716 Ph: (702) 765-5253 |
| NPI Number | 1316169980 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316169980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8652 (Nevada) | Primary |
| 207R00000X | Internal Medicine | 9484 (Nevada) | Secondary |
| 208000000X | Pediatrics | 8652 (Nevada) | Secondary |
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