Centerwell Senior Primary Care (nv) PC

NPI #1043926777 in Las Vegas, Nevada

Provider Information

NPI Number
1043926777
Entity Type
Organization
Organization Name
Centerwell Senior Primary Care (nv) PC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTERWELL SENIOR PRIMARY CARE (NV) PC
Primary Specialty
Internal Medicine
Enumeration Date
Jan 26, 2023
Last Updated
Jul 3, 2024

Practice Location

Address
4517 BLUE DIAMOND RD
State
Nevada
ZIP Code
89139-7620
Phone
(725) 258-2982

Authorized Official

Name
ANGIE MARTINEZ
Title
SENIOR CREDENTIALING PROFESSIONAL
Phone
(407) 447-7120

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine - Interventional CardiologyInterventional Cardiology
General Practice
Internal Medicine

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