Healthcare Provider Details
I. General information
NPI: 1821691056
Provider Name (Legal Business Name): SAVANT HEALTH SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2020
Last Update Date: 04/27/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3225 MCLEOD DR STE 100
LAS VEGAS NV
89121-2257
US
IV. Provider business mailing address
3225 MCLEOD DR STE 100
LAS VEGAS NV
89121-2257
US
V. Phone/Fax
- Phone: 702-686-4722
- Fax: 702-485-5212
- Phone: 702-686-4722
- Fax: 702-485-5212
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CONSTANCE
BROWN
Title or Position: PROVIDER
Credential: MD
Phone: 702-606-8737