Organization · Type 2 NPI
Ever Blue Ocean Medical Clinic
Primary Care Clinic/Center · Las Vegas, NV
NPI number
1922832682
Active
Practice location
3097 S Decatur Blvd
Las Vegas, NV 89102-9130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1922832682
Ever Blue Ocean Medical Clinic's National Provider Identifier is 1922832682, issued on Aug 27, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 27, 2024.