Organization · Type 2 NPI

Intermountain Medical Holding Nevada, Inc.

Hematology & Oncology Physician · Las Vegas, NV

NPI number 1164541512 Active

Practice location

2650 N Tenaya Way Ste 201
Las Vegas, NV 89128

Fax (702) 869-8103

Mailing address

6355 S Buffalo Dr
Las Vegas, NV 89113-2133

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1164541512

Intermountain Medical Holding Nevada, Inc.'s National Provider Identifier is 1164541512, issued on Mar 28, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 14, 2025.