Chmm Pahrump Mso, LLC

NPI #1417684713 in Pahrump, Nevada

Provider Information

NPI Number: 1417684713
Entity Type: Organization
Organization Name: Chmm Pahrump Mso, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CHMM PAHRUMP MSO, LLC
Primary Specialty: General Practice
Enumeration Date: Aug 5, 2022
Last Updated: Aug 8, 2022

Practice Location

Address: 360 S LOLA LN
City: Pahrump
State: Nevada
ZIP Code: 89048-0884
Phone: (702) 449-9173

Authorized Official

Name: TILLIE ANDRADE
Title: MSO DIRECTOR
Phone: (702) 449-9173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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