Mavis N Matsumoto, Md, LLC

NPI #1902174741 in Henderson, Nevada

Provider Information

NPI Number
1902174741
Entity Type
Organization
Organization Name
Mavis N Matsumoto, Md, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MAVIS N MATSUMOTO, MD, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Dec 8, 2011
Last Updated
Apr 15, 2013

Practice Location

Address
2780 W HORIZON RIDGE PKWY
Address 2
SUITE 30
State
Nevada
ZIP Code
89052-3995
Phone
(702) 992-4050

Authorized Official

Name
DR. MAVIS MATSUMOTO, M.D.
Title
OWNER
Phone
(702) 992-4050

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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