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Medical Genetics Of Nevada LLC

Medical Genetics, Clinical Genetics (M.D.) in Henderson, NV. Organization (NPI-2).

NPI number1366068041
StatusActive
Last updated in NPPESDec 14, 2021

Details

NPI
1366068041
Entity type
Organization (NPI-2)
Legal business name
Medical Genetics Of Nevada LLC
Organization subpart
No
Enumeration date
Jun 18, 2020
Certification date
Dec 14, 2021
Last updated
Dec 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207SG0201X Medical Genetics, Clinical Genetics (M.D.)––Yes

Practice location

2538 Anthem Village Dr Ste 110
Henderson, NV 89052-5551

Phone 702-732-6800 · Fax 702-932-9611

Mailing address

2538 Anthem Village Dr Ste 110
Henderson, NV 89052-5551

Phone 702-732-6800 · Fax 702-932-9611

Authorized official

Susanna Sorrentino
Physician
7027326800

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