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NPI Code Detail

MEDICARE: MEDICAL SCULPTING & GYN CARE

MEDICARE: MEDICAL SCULPTING & GYN CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0050XNon-Surgical Family Planning Clinic/Center10765NV

General Provider Information

NPI Number : 1558528232
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL SCULPTING & GYN CARE
Provider Business Mailing Address
First Line : 2739 SUNRIDGE HEIGHTS PKWY
Second Line : ST 100
City : HENDERSON
State : NV
Zip : 89052-5043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2739 SUNRIDGE HEIGHTS PKWY
Second Line : ST 100
City : HENDERSON
State : NV
Zip : 89052-5043
Country : US
Telephone Number : 702-538-8888
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : CATHERINE PEREZ
Credential :
Telephone Number : 702-538-8888
Provider Enumeration Date : 05/20/2008
Last Update Date : 06/05/2008

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Directions to “MEDICAL SCULPTING & GYN CARE ” Practice Location

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