| Marathon | |
|
8565 S Eastern Ave Ste 172 Las Vegas NV 89123-2907 | |
| (702) 279-8200 | |
| Not Available |
| Full Name | Marathon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8565 S Eastern Ave Ste 172, Las Vegas, Nevada |
| Authorized Official Name and Position | Tabitha M. Johnson (MANAGER) |
| Authorized Official Contact | 7022798200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marathon 8565 S Eastern Ave Ste 172 Las Vegas NV 89123-2907 Ph: (702) 279-8200 | Marathon 8565 S Eastern Ave Ste 172 Las Vegas NV 89123-2907 Ph: (702) 279-8200 |
| NPI Number | 1164819157 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164819157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01214 (Nevada) | Primary |
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