Provider First Line Business Practice Location Address:
UMC - L&D 7TH FLR.
Provider Second Line Business Practice Location Address:
1800 W CHARLESTON BLVD
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89102-2329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-671-2300
Provider Business Practice Location Address Fax Number:
702-671-2333
Provider Enumeration Date:
01/04/2006