Las Vegas Clinic for Children & Youth

NPI #1558429720 in Las Vegas, New Mexico

Provider Information

NPI Number: 1558429720
Entity Type: Organization
Organization Name: Las Vegas Clinic for Children & Youth
Primary Specialty: Pediatrics
Enumeration Date: Dec 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 501 7TH STREET
City: Las Vegas
State: New Mexico
ZIP Code: 87701
Phone: (505) 425-3566

Authorized Official

Name: DR. GEORGE P BUNCH, MD
Title: PRESIDENT MD
Phone: (505) 425-3566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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