Healthcare Provider Details

I. General information

NPI: 1811811334
Provider Name (Legal Business Name): NDFC VEGAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9065 S PECOS RD STE 200
HENDERSON NV
89074-6606
US

IV. Provider business mailing address

1760 E PECOS RD STE 532
GILBERT AZ
85295-3210
US

V. Phone/Fax

Practice location:
  • Phone: 480-351-8222
  • Fax: 480-351-8221
Mailing address:
  • Phone: 480-351-8222
  • Fax: 480-351-8221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK AMOLS
Title or Position: OWNER
Credential: MD
Phone: 513-525-3170