Nu Wave Eswt, LLC

NPI #1245479773 in Las Vegas, Nevada

Provider Information

NPI Number: 1245479773
Entity Type: Organization
Organization Name: Nu Wave Eswt, LLC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Feb 6, 2009
Last Updated: Feb 6, 2009

Practice Location

Address: 4510 WEST DIABLO AVE
Address 2: SUITE A110
City: Las Vegas
State: Nevada
ZIP Code: 89118
Phone: (702) 948-0604

Authorized Official

Name: JERRY BALLOW
Title: CREDENTIALING SPECIALIST
Phone: (702) 202-3431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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