NPI 1598926677

Centennial Medical Group

Organisation Interventional Pain Medicine Physician N Las Vegas, NV

Practice location

Address: 4640 W Craig Rd, N Las Vegas, NV 89032-2743
Phone: (702) 839-1203
Fax: (702) 507-0992
Mailing address: 4454 N Decatur Blvd, Las Vegas, NV 89130-5286

Authorised official

Name: Carla Sherwood
Title: Operations Director
Phone: (702) 818-2825

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Nevada →

Registry record

NPI: 1598926677
Entity type: Organization
NPI issued: 20 Jun 2008
Record last updated: 20 Jun 2008

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.