Mama Mia Pediatrics, LLC

NPI #1487167623 in Las Vegas, Nevada

Provider Information

NPI Number: 1487167623
Entity Type: Organization
Organization Name: Mama Mia Pediatrics, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MAMA MIA PEDIATRICS, LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 9, 2017
Last Updated: Nov 9, 2017

Practice Location

Address: 1250 S EASTERN AVE
City: Las Vegas
State: Nevada
ZIP Code: 89104-2052
Phone: (702) 383-4001

Authorized Official

Name: GABRIEL P CARPO, M.D.
Title: OWNER
Phone: (702) 596-2293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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