Airport MD - Las Vegas
Clinic/Center, Urgent Care in Las Vegas, NV. Organization (NPI-2).
NPI number1013249481
StatusActive
Last updated in NPPESFeb 10, 2010
Details
- NPI
- 1013249481
- Entity type
- Organization (NPI-2)
- Legal business name
- Airport MD - Las Vegas
- Organization subpart
- No
- Enumeration date
- Feb 9, 2010
- Last updated
- Feb 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
5757 Wayne Newton BlvdLas Vegas, NV 89111-5000
Phone 702-261-4622
Mailing address
5757 Wayne Newton BlvdLas Vegas, NV 89111-5000
Phone 702-261-4622
Authorized official
Jodi Vance
Manager
6514398484
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