Vegas Valley Medical Center, Llc

NPI 1194936658 - Family Medicine - 207Q00000X

NPI Details
NPI 1194936658
Enumeration Date 05/25/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD JAY RONALD
Position PHYSICIAN
Phone (702) 645-8555
Fax (702) 645-2828
Practice Location
4830 W LONE MOUNTAIN RD
LAS VEGAS NV, 89130-2239, US
Phone (702) 645-8555
Fax (702) 645-2828
Business Location
4830 W LONE MOUNTAIN RD
LAS VEGAS NV, 89130-2239, US
Phone (702) 645-8555
Fax (702) 645-2828
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number 11112
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According to our database, Vegas Valley Medical Center, Llc NPI is 1194936658, taxonomy code is 207Q00000X and license number is 11112, license state is located at Nevada. Vegas Valley Medical Center, Llc physically located at 4830 W Lone Mountain Rd, Las Vegas NV, 89130-2239. NPI Number 1033115704 has the healthcare provider type.

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1194936658 NPI number is provided on an as is basis without warranty of any kind. 1194936658 is maintained by the National Plan & Provider Enumeration System. The contents of Vegas Valley Medical Center, Llc are for informational purposes only.