Whalio Doctors

NPI 1033998885

Smmi Direct INC

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address
6970 Obannon Dr, Las Vegas, NV 89117-2122
Phone
(619) 213-8147

Authorised official

Name
Todd Steven Breeden
Title
Coo
Phone
(619) 213-8147

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X

Registry record

NPI
1033998885
Entity type
Organization
NPI issued
21 Sep 2023
Record last updated
21 Sep 2023

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.