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1386081131
NEWPORT MATRIX LLC
LAS VEGAS, NV
NPI
1386081131
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Entity Type
Organization
Authorized Contact
MATTHEW PHAM
Member
702-369-7886
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NV 11052)
Enumeration Date
2013-06-03
Last Update Date
2013-06-03
Business Address
NEWPORT MATRIX LLC
3022 S DURANGO DR SUITE 100
LAS VEGAS, NV 89117-4439
Phone number: 702-256-3637
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Mailing Address
NEWPORT MATRIX LLC
3022 S DURANGO DR SUITE 100
LAS VEGAS, NV 89117-4439
Phone number: 702-256-3637
Copy
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