FREMONT PRIMARY CARE - ENDOCRINOLOGY NPI 1295712693

NPI Information

FREMONT PRIMARY CARE - ENDOCRINOLOGY is a nutrition and metabolic dietitian registered in Las Vegas, NV. FREMONT PRIMARY CARE - ENDOCRINOLOGY NPI is 1295712693. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Joslin Diabetes Center Affiliate At Fremont Medical Center.

The provider's business location address is:

4880 WYNN RD
LAS VEGAS, NV
ZIP 89103-406
Phone: (702) 362-3422
Fax: (702) 939-8827

The provider's authorized official is Jon Greg Griffin .
The authorized official title is Ceo and has the following contact phone number (702) 671-6800.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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