NPI 1033617824

Mgg and Groups

Organisation General Practice Physician Las Vegas, NV

Practice location

Address: 2255 Renaissance Dr STE C, Las Vegas, NV 89119-6751
Phone: (702) 434-5114

Authorised official

Name: Mary-Grace G Gaerlan
Title: Owner
Phone: (702) 434-5114

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Nevada →

Registry record

NPI: 1033617824
Entity type: Organization
NPI issued: 26 Jan 2018
Record last updated: 11 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.