Provider First Line Business Practice Location Address:
99TH MEDICAL GROUP
Provider Second Line Business Practice Location Address:
4700 LAS VEGAS BLVD
Provider Business Practice Location Address City Name:
NORTH NELLIS AFB
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89191-6601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-653-2273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2022