Centennial Medical Group

NPI #1598926677 in N Las Vegas, Nevada

Provider Information

NPI Number: 1598926677
Entity Type: Organization
Organization Name: Centennial Medical Group
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jun 20, 2008
Last Updated: Jun 20, 2008

Practice Location

Address: 4640 W CRAIG RD
City: N Las Vegas
State: Nevada
ZIP Code: 89032-2743
Phone: (702) 839-1203

Authorized Official

Name: MRS. CARLA SHERWOOD
Title: OPERATIONS DIRECTOR
Phone: (702) 818-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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