| |
1040 Wigwam Pkwy Ste 110 Henderson NV 89074-8172 | |
(702) 852-2466 | |
(702) 848-2995 |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1040 Wigwam Pkwy Ste 110, Henderson, Nevada |
Authorized Official Name and Position | Godwin Inalegwu Ofikwu (PRESIDENT) |
Authorized Official Contact | 7028521888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1040 Wigwam Pkwy Ste 100 Henderson NV 89074-8172 Ph: (702) 852-1888 | 1040 Wigwam Pkwy Ste 110 Henderson NV 89074-8172 Ph: (702) 852-2466 |
NPI Number | 1457117335 |
---|---|
Provider Enumeration Date | 02/27/2024 |
Last Update Date | 12/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457117335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Siena Hills Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0798 | |
The Doc's Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-997-7600 | |
Mark Day, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 N Pecos Rd Ste A, Henderson, NV 89074 Phone: 702-456-9100 Fax: 702-434-7354 |