Organization · NPI-2

Advanced Medical Weight

Family Medicine, Bariatric Medicine · Henderson, NV

NPI number1881863538
StatusActive
Last updated in NPPESFeb 27, 2008

Details

NPI
1881863538
Entity type
Organization (NPI-2)
Legal business name
Advanced Medical Weight
Organization subpart
No
Enumeration date
Feb 27, 2008
Last updated
Feb 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QB0002X Family Medicine, Bariatric Medicine––Yes
133N00000X Nutritionist––

Practice location

76 W Horizon Ridge
Suite 125
Henderson, NV 89012

Phone 702-897-9797 · Fax 702-897-9795

Mailing address

76 W Horizon Ridge
Suite 125
Henderson, NV 89012

Phone 702-897-9797 · Fax 702-897-9795

Authorized official

Sherman E Baker
President
7028979797

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