Provider First Line Business Practice Location Address:
6900 NORTH PECOS RD
Provider Second Line Business Practice Location Address:
ASSISTANT CHIEF OF MEDICINE
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89086-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-784-7437
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2007