Integrated Medical Group Eastern Region INC

NPI #1760815922 in Las Vegas, Nevada

Provider Information

NPI Number
1760815922
Entity Type
Organization
Organization Name
Integrated Medical Group Eastern Region INC
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 12, 2013
Last Updated
Aug 12, 2013

Practice Location

Address
3230 S BUFFALO DR
Address 2
SUITE 105
State
Nevada
ZIP Code
89117-2505
Phone
(224) 558-9705

Authorized Official

Name
MR. AMANDO OBA SILVA JR.
Title
PRESIDENT
Phone
(224) 558-9705

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization
Nurse Practitioner

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