Organization · NPI-2

Advanced Telemedicine Associates LLC

Internal Medicine · Henderson, NV

NPI number1376130963
StatusActive
Last updated in NPPESDec 21, 2023

Details

NPI
1376130963
Entity type
Organization (NPI-2)
Legal business name
Advanced Telemedicine Associates LLC
Organization subpart
No
Enumeration date
Dec 29, 2020
Certification date
Dec 21, 2023
Last updated
Dec 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

3195 Saint Rose Pkwy Ste 212
Henderson, NV 89052-3504

Phone 702-468-5905

Mailing address

2654 W Horizon Ridge Pkwy Ste B5214
Henderson, NV 89052-2803

Phone 702-468-5905

Authorized official

Edward Makarewicz
Ceo
5754966142

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