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CENTENNIAL NEUROLOGY LLC NPI 1760982367


NPI Information

NPI: 1760982367
Provider Name: CENTENNIAL NEUROLOGY LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 29D1009537

Address:
7425 W AZURE DR STE 150
LAS VEGAS, NV
ZIP 89130
Phone: (702) 541-6805
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CENTENNIAL NEUROLOGY LLC is a neurology psychiatry neurology in Las Vegas, NV. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CENTENNIAL NEUROLOGY LLC NPI is 1760982367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7425 W AZURE DR STE 150
LAS VEGAS, NV
ZIP 89130-425
Phone: (702) 541-6805

The provider's authorized official is Christopher Milford .
The authorized official title is Md/owner and has the following contact phone number (702) 541-6805.

The CLIA number assigned to this NPI record is 29D1009537 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 2/20/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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