Chanwell Medical Group Nevada Inc

NPI 1124385976 - Clinic/Center - 261QM1300X

NPI Details
NPI 1124385976
Enumeration Date 04/18/2012
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANTHONY QUAN ANTHONY
Position PRESIDENT
Phone (702) 568-0686
Fax (702) 568-0687
Practice Location
2749 SUNRIDGE HEIGHTS PKWY
HENDERSON NV, 89052-5044, US
Phone (702) 568-0686
Fax (702) 568-0687
Business Location
2749 SUNRIDGE HEIGHTS PKWY
HENDERSON NV, 89052-5044, US
Phone (702) 568-0686
Fax (702) 568-0687
Toxanomy
Taxonomy Code 261QM1300X
License State California
License Number 042535
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According to our database, Chanwell Medical Group Nevada Inc NPI is 1124385976, taxonomy code is 261QM1300X and license number is 042535, license state is located at California. Chanwell Medical Group Nevada Inc physically located at 2749 Sunridge Heights Pkwy, Henderson NV, 89052-5044. NPI Number 1033115704 has the healthcare provider type.

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1124385976 NPI number is provided on an as is basis without warranty of any kind. 1124385976 is maintained by the National Plan & Provider Enumeration System. The contents of Chanwell Medical Group Nevada Inc are for informational purposes only.