| NPI | 1720324429 |
|---|---|
| Doing Business As | A LAS VEGAS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NIKOLE MALAXECHEVARRIA Practice Manager 702-733-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 14165) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA05800100) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001848) | |
| 207Q00000X Family Medicine (Licence: NV 1091) | |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2015-07-22 |