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Choice Family Medical Clinic Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHOICE FAMILY MEDICAL CLINIC LLC15387786342020-07-24
Entity TypeOrganization
Provider OrganizationCHOICE FAMILY MEDICAL CLINIC LLC
Practice Office Address4185 VEGAS VALLEY DR STE C
LAS VEGAS, NV US
Practice Office Telephone7024578889
Mailing Address400 N STEPHANIE ST STE 260
HENDERSON, NV 890146800 US
Business Telephone7026295555
Authorized OfficialMICHAEL LYNN BRADLEY, ADMINISTRATIVE
3104350644
HPT Codes
CodeLicense NoState
261QC1500X
261Q00000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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