Integrated Multi Specialty Medical Group

NPI #1649923400 in Pahrump, Nevada

Provider Information

NPI Number: 1649923400
Entity Type: Organization
Organization Name: Integrated Multi Specialty Medical Group
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Feb 1, 2022
Last Updated: Feb 1, 2022

Practice Location

Address: 1440 E NEVADA HIGHWAY 372 STE 3
City: Pahrump
State: Nevada
ZIP Code: 89048-2184
Phone: (702) 483-3630

Authorized Official

Name: GRACE CARILLO
Title: CREDENTIALING
Phone: (702) 569-7244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine	207R00000X
Nurse Practitioner	363L00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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