| Chmm Pahrump Mso, Llc | |
|
360 S Lola Ln Pahrump NV 89048-0884 | |
| (702) 449-9173 | |
| Not Available |
| Full Name | Chmm Pahrump Mso, Llc |
|---|---|
| Speciality | General Practice |
| Location | 360 S Lola Ln, Pahrump, Nevada |
| Authorized Official Name and Position | Tillie Andrade (MSO DIRECTOR) |
| Authorized Official Contact | 7024499173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chmm Pahrump Mso, Llc 222 S Meramec Ave Ste 202 Saint Louis MO 63105-3514 Ph: () - | Chmm Pahrump Mso, Llc 360 S Lola Ln Pahrump NV 89048-0884 Ph: (702) 449-9173 |
| NPI Number | 1417684713 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417684713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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