NPI 1417374968

Southern Nevada Medical Group, PC

Organisation Point of Service Las Vegas, NV

Practice location

Address: 1485 E Flamingo Rd, Las Vegas, NV 89119-5256
Phone: (702) 386-0882
Fax: (702) 386-0977

Authorised official

Name: Michelle Hyla
Title: Owner
Phone: (702) 386-0882

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1172 (NV)

Other Point of Service providers in Nevada →

Registry record

NPI: 1417374968
Entity type: Organization
NPI issued: 22 Mar 2014
Record last updated: 22 Mar 2014

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.