Culinary Extra Clinic
Culinary Extra Clinic is an Internal Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1961 Las Vegas Blvd S Ste 101Las Vegas, NV 89104-1310
Phone: (702) 852-0215
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1801295712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rushika Fernandopulle — Ceo · (617) 454-4672 |
| NPI enumerated | August 15, 2014 |
| Last updated in NPPES | September 14, 2015 |
| Mailing address | 101 Tremont St Fl 6, Boston, MA 02108-5004 |
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