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AV RESUELLO MEDICAL CORPORATION

Physicians Pediatrics

Provider NPI: 1184964306

Organization Information:
Organization Name:  AV RESUELLO MEDICAL CORPORATION
Organization is not Subpart
Authorized Official:  ADELAIDA VALERIO RESUELLO  PRESIDENT  702-385-4929

Practice Location:
1300 S MARYLAND PKWY  LAS VEGAS, NV 89104-3310 US
Tel: 702-385-4929  Fax: 702-385-4457

Business Mailing Address:
1300 S MARYLAND PKWY  LAS VEGAS, NV 89104-3310 US
Tel: 702-385-4929  Fax: 702-385-4457

NPI Information:
NPI: 1184964306
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XPhysicians
Pediatrics
NV8004
Y207R00000XPhysicians
Internal Medicine
NV8004

Other Provider Identifiers:

IssuerNumberStateType
002019195NV05



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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