Medicotek INC

NPI #1790450104 in Las Vegas, Nevada

Provider Information

NPI Number
1790450104
Entity Type
Organization
Organization Name
Medicotek INC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDICOTEK INC
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 9, 2021
Last Updated
Oct 27, 2021

Practice Location

Address
6859 S EASTERN AVE STE 103
State
Nevada
ZIP Code
89119-0003
Phone
(702) 778-4838

Authorized Official

Name
MARIVIC LUNA BANAL
Title
DIRECTOR
Phone
(702) 778-4838

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Psychiatry & Neurology - PsychiatryPsychiatry
Clinic/Center - RadiologyRadiology
Nurse Practitioner

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