Organization Name: | FAMILY DOCTORS OF BOULDER CITY |
NPI Number: | 1497923270 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERVE BEZARD (MD) |
Mailing Address: | 895 Adams Blvd Boulder City |
State: | NV US |
Postal Code: | 89005 |
Phone Number: | 7022930406 |
Fax Number: | 7022930192 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |