Woodward Ave., Llc

NPI 1568752202 - Clinic/Center - 261QA1903X

NPI Details
NPI 1568752202
Enumeration Date 04/14/2011
Last Updated 04/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MATT MATT
Position MANAGER
Phone (702) 316-2281
Fax
Practice Location
9920 W CHEYENNE AVE
SUITE 120
LAS VEGAS NV, 89129-7725, US
Phone (702) 316-2281
Fax
Business Location
9920 W CHEYENNE AVE
SUITE 120
LAS VEGAS NV, 89129-7725, US
Phone
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Woodward Ave., Llc NPI is 1568752202, taxonomy code is 261QA1903X Woodward Ave., Llc physically located at 9920 W Cheyenne Ave, Las Vegas NV, 89129-7725. NPI Number 1033115704 has the healthcare provider type.

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1568752202 NPI number is provided on an as is basis without warranty of any kind. 1568752202 is maintained by the National Plan & Provider Enumeration System. The contents of Woodward Ave., Llc are for informational purposes only.