Newsletter 104 September
2008
Contents
President’s Message – September
Volunteers
in Medicine of Southern Nevada
Malpractice
Filings Against Health Care Providers, Jan 2001 – July
Risk Reduction Policies and
Procedures for your Office Manual
BOT Meeting Minutes Synopsis June
2008
2008-09 Alliance Co-Presidents
Message - September
Southern
Nevada Health Officer Report
President’s Message – September
By Jerry Jones, MD
2008-09 CCMS
President
Hospitality, Generosity, Kindness
I think often of my friend Dr. Robert Buckley. Bob had a lot of friends. Many of his friends
knew Bob much longer than I did. Robert Buckley passed away in 2007 having
lived a life full and rich with memory and meaning. His wonderful wife Barbara,
their children and grandchildren honor Bob and his life.
Dr. Buckley was the older generation of physicians who lived,
remembered, and survived adventures that I have not. Bob traveled the world
literally while working with the Hilton Foundation. They founded and assisted
medical clinics all over the world. Bob
would often talk about
One of Dr. Buckley’s sons told me on one of their more remote
destinations he saw an examination table donated by the Robert Buckley family.
He said he was proud they were leaving something; a memory behind.
Dr. Buckley had asked me to travel with him on one of his
trips. I could not accompany him because of the trip destination. Practicing OB/GYN does not give me a lot of
flexibility with my schedule. Most of us do not and cannot make the commitment
of travel and time that Dr. Buckley did.
Community
Service Opportunities are of increasing importance this year.
The 2008-09 CCMS Pictorial Directory will arrive in your offices
in the next month or so and now has a new section on “Service
Opportunities”. Unemployment, difficult
financial times, home foreclosures and loss of health insurance are probably
issues your patients are talking about to you.
We are most excited about Volunteers in Medicine of Southern
Nevada “VMSN” which will open clinic doors in 2009. VMSN is the first community service project
endorsed by the Clark County Medical Society.
An excited board meets biweekly to navigate all of the details that are
needed to open the clinic. No matter
your talents or background VMSN will find a good place for you. I think Dr.
Buckley would have liked the plans for VMSN.
Membership Drive
We started our membership drive for CCMS July 2008. If you are a member of a specialty or multi
specialty group and members of your group are not yet CCMS members, please ask
them to join.
We will continue our office patient safety column by Antoinette
Sparkuhl in the
Volunteers in Medicine of Southern Nevada
By
I want to share with you an amazing
project that is unfolding here in
VMSN was established in 2008 by a group of concerned citizens who
wanted to find a way to provide access to health care to the medically
underserved and uninsured. It is estimated there are 40 million uninsured in
the
VMSN plans to use both active and retired health care professionals
and lay people to run the clinic. We expect to be one of the largest clinics in
the country because our medical needs are among the greatest in the country. In
a large clinic located centrally, it is anticipated that 200 to 300 volunteers will
be serving 25,000 to 50,000 patient visits annually. VMSN’s philosophy is to
create a “culture of caring.” The clinic will initially focus on primary care,
newborn check-ups/immunizations, pediatrics, prenatal care and social services.
Additional services such as eye, dental, and others will be added in time.
The mission statement is to identify, understand, and serve the
health and wellness needs of the medically underserved in
We now have over 200
volunteers: 60 physicians, 20 nurses, medical assistants, social workers, and
others. Our volunteer organization team has grown to approximately 16 people,
including health lawyers in our city, a premier grant writer, a top executive
administrator, event planners, and many others.
Our supporters are extensive, including City Councilman Barlow, County
Commissioner Weekly, Mayor Oscar Goodman, Assemblywoman Barbara Buckley,
Senator Barbara Cegavske, Attorney General Catherine Cortez-Masto, HCA CEO
Sylvia Young, Valley CEO Carla Perez, St. Rose CEO Rod David, Quest
Diagnostics, and many major philanthropic individuals in our community. The secret to our success is to have as large
a volunteer force as possible, thereby minimizing the load on any one
person.
Our medical goal is to
open two clinics in
Let us be the generation that began the work in a conscious
effort to answer the challenge of universal healthcare; to be one of the few communities in the
country to declare that everyone has access to quality medical care. Every person deserves health care which is
critical to good health, happiness and the pursuit of dreams. I want to invite you to participate in
VMSN. We desperately need primary care
doctors and pediatricians. We are looking for volunteers and also a Medical
Director. Any physicians out there that
are either working full-time, part-time, or retired and are interested in
volunteering for the Medical Director position please contact us. Visit us on our website at www.vmsn.org and
sign up on our volunteer page; or call us at 702-994-3760. Thank you.
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Clark County District Court Medical Malpractice Filings
2001 2002 2003 2004 2005 2006 2007
2008
Jan 39 33 108 61 41 50 109 64
Feb 20 14 98 72 63 61 41 77
Mar 35 30 169 123 64 38 70 3126
Apr 37 34 111 81 70 58 60 505
May 37 35 126 65 14 71 84 225
Jun 27 24 103 90 65 83 56 116
Jul 19 100 114 45 66 74 84 171
Aug 54 51 76 67 33 82 74
Sep 20 65 105 79 36 51 62
Oct 37 83 110 59 26 74 78
Nov 38 184 59 78 73 50 53
Dec 9 170 67 47 30 28 53
Sum 372 823 1246 867 581 720 824 4284
Member News
Applicants
to go before the
Credentialing
Committee
Kevin Chang, MD - Diagnostic Radiology
Andrea Dempsey, MD - Internal Medicine
Howard Francois, MD - Diagnostic Radiology
Joel Schwartz, MD - OB-Gyn
If you
have any pertinent information about the membership candidates listed above,
please send written information to:
Listed
below are some of the benefits of membership:
5%
Discount on Malpractice Insurance with Nevada Mutual Insurance Company, PIC
Group
Health PPO for members and their families, and office employees and their
families at very competitive rates
VISA
credit card through Community Bank with no interest for 60 days
iTransact
credit card processing service at special rates
MedPac,
your CCMS political action committees, and NemPac, the NSMA political action
committee, both supporting physician friendly candidates
Notary
services at the CCMS office, free to CCMS members
Through
NSMA, representation in State Legislature via paid lobbyist
Fax
updates on breaking news important to local physicians
Free
classified advertising (up to 40 words) in our monthly newsletter (limit of 3
per year)
Complimentary
Copy of our Membership Directory annually
Publication
of members name, address, phone
number, and
specialty on the CCMS website
Our
informative monthly newsletter, the
ePrescribing
through Allscripts – electronic new prescriptions and refills with formulary
information
Approximately
1,600 referrals per year are provided to the public
Congratulations and Welcome to the
Matthew Fouse, MD
Orthopaedic
Surgery
Anesthesiology
9280 W
Sunset Rd #412
Urology
1301
Bertha Howe #9
Michael Tay, MD
Radiation
Oncology
3730 S
Eastern Ave
Steven Thomas, MD
Maternal/Fetal
Medicine
Welcome to
the
Arthur Tayengco, MD - OB-Gyn
Patricia Pierce, MD - Maternal Fetal Medicine
For
information on becoming a member of the
Risk Reduction Policies and Procedures for your Office Manual
By: Antoinette Pretto-Sparkuhl, RN, BSN, MHA
Patient safety is paramount
to a successful medical practice. Today's patients are savvier due to increased
availability of medical information and therefore are more apt to scrutinize
their medical care. Consequently, physicians need to be more prepared in order
to successfully manage their patients. Becoming more prepared includes
developing a Policy and Procedure Manual for the physician's office which will
promote patient safety and quality care. Remember, physicians are not only
liable for their own negligent acts, but can also be held accountable for the
negligent acts of their staff.
Standardization is
the most obvious reason for having a Policy and Procedure Manual. This helps to
ensure that staff is on the same page with a particular process thus reducing
the chances of errors from occurring. Other reasons may include: to
orient/re-orient new staff, establish processes for handling various situations
in the office, set expectations regarding who does what and how, support the
physician practice mission, and establish rules to support customer
service. All of these support the
primary reason for a Manual which is to provide written guidelines which
support patient safety and quality care.
In my experience, one
of the most common reasons for offices not having a Policy and
Procedure Manual was due to small staff size.
Excuses such as "There are only 3 of us that work here, so we don't
really need one", or "We are small and have all worked together for
so long that we don't really need one" is what I was told. Regardless of practice size or how long you
have been in business, without a formalized written Manual you are putting
yourself and staff, your practice, and your patients, at risk.
Key Risk Reduction
Policies and Procedures are summarized in the following categories:
1. Patient Satisfaction, Communication and
Customer Service - A lack of one or all of these have been directly linked
to malpractice claims even in the absence of negligence. Policies and
Procedures should be created for: Addressing Patient Complaints, Telephone
Communication, (triage, advice calls, prescription refills, after hours calls)
and Scheduling, (scheduling, cancellations, and no-shows).
2. Patient Rights - Regulations have been
enacted to ensure patients rights, including HIPAA and anti-discrimination
laws. Policies and Procedures for
cultural competency issues, confidentiality and access to medical records
should be created to address these issues.
3. Documentation – We have all heard the
old adage the “If it wasn’t documented, it didn’t happen.” Malpractice cases are lost because of
inadequate documentation. Therefore, you
should have Policies and Procedures for: informed consent and refusal, records
retention and tracking referrals and tests.
4. Operations - In order to promote
certain office operations which enhance patient safety
and protect your practice, you should have Policies and Procedures
for: medication management, disclosing medical errors, medical emergencies and
handling high risk patients.
5. Legal Issues - These issues should be
dealt with timely and efficiently so that there is minimal disruption to your
practice. Policies and Procedures for: management of professional liability
claims, terminating a patient and request for medical records release, should
be created.
Enhanced communication,
enhanced productivity thus reduced lost time, consistency among staff,
compliance with state, federal laws and accreditation agencies and improved
customer service are just some of the benefits from implementation. All of these benefits will help to
reduce your liability exposure. (Seek legal counsel as needed, to ensure
compliance before implementation of a Policy or Procedure).
Compliance with office
Policies and Procedures must be audited in order to protect yourself and staff,
your practice and ultimately the patients you serve. Now is the time to develop
formalized written processes which can reduce the chances of errors occurring
in your office.
Antoinette
Pretto-Sparkuhl can be contacted at 700 Shadow Ln #430, Las Vegas, NV 89106.
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Past President’s Message
By Charles Ebert, MD
CCMS President 1990-1991
Being President of the
Clark County Medical Society for the year 1990-1991 was a
The year was full of
satisfying and fun events as well as giving back to the medical community and
the
And this was the year
of the legislature……A new respect for the society emerged from Carson City due
to the active participation of our physicians, our lobbyists, and of course,
the chairman of the Senate Finance Committee, our Executive Director, Senator
Nick Horn. The message throughout the
legislative year was, “Don’t mess with the
docs!”.
18 years after being
installed as the President of the Clark County Medical Society my message to
President Jerry Jones and the members of the Society is this: “A past NSMA
President, Dr. Tom Brady, adopted as his motto, “To those who much is given, much will be required”. “Can there be any better application of
Noblesse Oblige, than to the physician?
…..I respectfully ask, then, that you…. the members of the CCMS…. make
it our own rallying cry, and join me in a sincere effort to regain the respect
and trust of those under our care… the people of
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CME CALENDAR
Bechtel
NV
Chapter AACE 702-434-8400
NV Cancer Institute 702-822-5290
Sep 26 - "Radioembolization for Primary and
Secondary Liver Malignancies."
Pri-Med Institute 877-4PRI-MED
Sierra
Health Services 702-242-7735
Southwest
Medical Assoc 702-242-7735
Aug 1 - "Neurovascular Case
Discussion"
UMC 702-383-2604
Sep 5 - "Cystic Fibrosis"
Sep 10, Sep 12 & Sep 19 - see www.umcsn.com/events/cme.asp
Sep 26 - "Women's Health Issues"
Education Opportunities for Practice
Managers, Call the NV Medical Group
Management Association: 702-697-5471 ext 134.
Only CME Activities held at the Clark County Medical Society
office are specifically endorsed by CCMS.
BOT Meeting Minutes Synopsis June 17, 2008
I. Call to Order - The meeting was
called to order by Dr. Havins at 6:02 pm.
II. Action Items
A. Minutes from the May 20, 2008 meeting were unanimously
approved.
B. Financial report was presented by Dr. Steinberg: General
Revenue – Actual income for 11 months of Fiscal Year 2007-08 is $430,591.37
compared to $433,114.00 in Fiscal Year 2006-07, for a decrease of $2,522.63
over last year at this time.
Operating Expenses – Actual expenses
for 11 months of Fiscal Year 2007-08 is $348,074.46 compared to $337,424.44,
for an increase of approximately $10,650.02 over last year at this time.
Overall, for 11 months of our fiscal
year, revenues exceeded our expenses by $82,516.91. The bank balance for the end of May was
$566,609.49 compared to $490,091.70 last year at this time.
Dr. Jones presented Dr. Steinberg a
plaque of appreciation for his years of service as CCMS Treasurer.
III. Committee Reports
A. Membership Count - Dr. Adashek presented the Membership
Report:
As of May 31, 2008, total dues-paid
membership is 716, compared to 781 last year at this time. This is a net decrease of 65 members.
Total CCMS members is 1,003,
including 197 dues exempt members.
There are 38 new members, 0 new
student members and 17 reinstatements in the Fiscal Year 07-08.
There are 90 Student members in the
Fiscal Year 07-08.
Membership Round-Up: Janice Poblete reported that five members
have renewed their membership.
B. Credentials Committee Report - Dr.
Vanderharten presented the Credentials Committee Report. Candidate Michael Her, MD – Internal
Medicine was unanimously approved for membership. Michael Valpiani, MD was reinstated for
membership.
The BOT discussed the member
disciplinary process. A motion was
made/passed to task the Bylaws Committee to develop an amendment stating:
o A member under investigation (at the direction of the
Board of Trustees) by the Credentials Committee who voluntarily resigns prior
to the end of the investigation is still subject to further investigation by
the Credentials Committee.
o The Credentials Committee may
complete the investigation and report their findings to the Board with
recommendations.
o The Board will reserve the right
to officially remove the member even though they have voluntarily resigned.
C. Community
Health/Community Relations Committee - Dr. Teijeiro presented the report.
Foster Care – The Department of
Family Services spoke at the committee meeting and updated the group on the
process of becoming a foster care giver.
They provided us with a descriptive paragraph to be placed on our
website.
Healthy Living – Dr. Jones made a
motion to endorse the program by MGM/Mirage.
After discussion, the BOT passed the motion to endorse and provide them
with our logo for their letterhead.
VMSN – All documents are in
place. The BOT passed a motion to:
o Re-affirm VMSN as CCMS’ pilot project under AB629, and
to resubmit the feasibility study and justification to the LCB for
reimbursement.
o Place an endorsement in the
Articles in the
D. Remodeling Committee - Dr. Fathie stated that the committee will
meet tomorrow and will refine the first scope of work to be bid.
IV. Alliance Report - Beverly Daly-Dix
presented the report.
The June 5 co-sponsored (CCMS &
CCMSA) event with Governor Gibbons was a great success with over 200 people in
attendance.
The “Mercedes” co-sponsored event
will be held in September wherein we will invite candidates to meet/greet our
members.
The two goals for the
o Be branded as the organization who
promotes community health
o Increase membership to 175 by May
1, 2009
V. County Health Officer Report (report
in packets) - Dr. Sands presented the report.
A Hepatitis C Registry is being
established in order to gather additional information related to patients of
both Endoscopy Centers of Southern Nevada and the
Approximately 1,400 patients have
requested their records from the Endoscopy centers.
The West Nile Virus season is here.
Due to real estate foreclosures, the SNHD has already exceeded the usual number
of complaints regarding “green” pools.
So far, trapped mosquitoes and birds have tested negative for the
virus.
VI.
Orientations to be held in
The transition of Deans is progressing
well.
Dr. Lenhart and Dr. Baron are
actively collaborating on equipping the combined simulation center as part of
an initiative with UNLV School of Nursing.
A demonstration was conducted approximately 10 days ago.
The new medical education building
in
A new medical education building in
southern
VII. Nevada Health Sciences System Report -
Dr. Lenhart presented the report.
The Andre Agassi fundraising event
was successful and raised $2MM. The
Lindsay Foundation matched the $2MM+ for a total of $5.5MM towards the Health
Science System. A large portion of the
monies will go to the joint clinical lab simulation center. Dr. Lenhart thanked CCMS for their
sponsorship.
Making strides in human research
relating to two initiatives; inter-institutional biomedical research activities
fund consisting of five $50,000 pots of money to start inter-institutional
studies. In order to qualify the
intuitions cannot be related.
Developing research infrastructure,
especially for clinical research at the southern campus, and streamlining the
institutional review board, all of which subjects of research must pass.
Next week a seven-entity nursing
collaboration symposium will be conducted.
VIII. Touro University College of Osteopathic
Medicine Report - Dr. Forman stated no report this month.
IX. Scholarship Fund Report - Dr.
Ellerton was not present; therefore, Dr. Havins presented the report:
The scholarship distributions have
been made to the schools.
Most of the scholarship recipients
will be attending the Installation Dinner June 28th.
X. NSMA Report - Dr. Kingsley was not
present; therefore Larry Matheis provided the report.
The legislature committee on healthcare
will have one more meeting in which they will discuss issues including the
Hepatitis C crisis.
Working with the national Hepatitis
C advocacy group and the CDC foundation to develop the materials to go into the
physician practices in
The issue that is most difficult to
communicate is the issue of usage of medication vials and how to communicate
what is safe so it makes sense to the public.
The special session called by
Governor Gibbons will be highly focused on the budget.
XI. MedPAC Report - Dr. Evins presented
the report.
BOD next meeting will be July 1 to
decide the next round of interviews.
After the August 12 primary, another
round of interviews will be conducted.
A number of requests have been made
by CCMS endorsed candidates to email information regarding their respective
campaign events to our members. After
discussion with Dr. Havins, it was decided that the Board of Trustees needs to
determine if a policy should be established to email upcoming events from
endorsed candidates. Dr. Evins
recommended that the Board of Trustees entrust the Board of Directors of MedPAC
to make the decision, on a case by case basis, to allow or deny such email
solicitations.
Dr. Steinberg recommended that
MedPAC establish a separate email account for mass emailing capabilities.
Dr. Havins recommended that the
endorsed candidates purchase CCMS labels and send out their own mailings. The value of the labels would be considered a
contribution to the endorsed candidate’s campaign.
It was decided that the Board of
Directors of MedPAC will discuss the issue further at the next MedPAC meeting.
XII. AMA Report - Dr. Nelson and Dr. Kline were not present; therefore Larry
Matheis presented the report.
One major focus of the AMA meeting
will managed care reform. The first
evaluation report of national insurers has been issued in the form of a report
card.
Another major focus will be the
10.6% cut which will be voted upon next week by the legislature. Their computers have been updated to
implement the cut July 1 (if passed).
XIII. NBME Report - Dr. Rodriguez provided the
report.
NBME elections were held in which
Charles Herald, MD from
Hearings will begin in
September/October for Dr. Desai and Dr. Carrera.
Dr. Baepler, NBME Secretary, passed
away recently. His replacement has not
yet been named.
A request has been submitted to the
legislation to allow the NBME to raise their bi-annual dues to $1,000.
The NBME website will be revamped to
include judgments against physicians in excess of $5,000
XIV. President’s Report - The President’s
Report was merged with the Administrative Report (below).
XV. Administrative Report - Dr. Havins provided the Administrative
Report.
CME for Profit – Dr. Havins asked
the BOT’s consensus on whether we should charge a fee to advertise CME’s for
profit in our
XVI. New Business
Dr. Jones and Dr. Jameson advised
the BOT that Senator Cegavski visited them at the
XVII. Old Business - None to report.
XVIII. Future Meetings - Next meeting is scheduled
for Tuesday, July 15, 2008 at 6:00pm.
This will be an Executive Council meeting, though all BOT members are
welcome to attend.
XX. Adjournment - Meeting adjourned at 8:15 pm.
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2008-2009 CCMS Alliance
By
Beverly Daly Dix and Sheila Bazemore
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SNHD Health Officer Report
Hepatitis C update and policy issues
By
On July 29, 2008,
representatives from the Southern Nevada Health District and the Nevada State
Health Division provided the Legislative Committee on Health Care with an
update of the hepatitis C investigation and outlined policy recommendations for
consideration by the committee.
Updates related to the
hepatitis C investigation included the identification of two source cases in
the hepatitis C outbreak at the Endoscopy Center of Southern Nevada. One
patient had a procedure on July 25, 2007, and the other on September 21, 2007 –
the dates that disease transmission was known to occur. An additional non-acute
case of hepatitis C infection has also been linked to the September 21 source
case. The health district can now link a total of eight hepatitis C cases
directly to the
Genetic testing and
results of the epidemiologic investigation allowed the health district’s
epidemiology team to positively identify the two source cases among clusters of
patients who underwent procedures on the same dates. Samples were tested by the
Centers for Disease Control and Prevention (CDC). These results will help us to
better understand how the disease was transmitted on those days and supports
the initial findings of the investigation.
The health district
continues to receive enrollment forms for the Hepatitis C Exposure
Registry. The registry was developed to
assist in the identification of patients who had procedures at both clinics,
including those who are infected with the hepatitis C virus, and allows
patients who have tested positive to learn their case classification. To date,
the health district has received more than 6,000 completed enrollment forms.
As a result of the
hepatitis C investigation the Legislative Committee on Health Care asked for
policy recommendations that would allow the health district to strengthen its
public health response and to address barriers identified during the course of
the investigation and subsequent response activities. Many of the
recommendations were made in conjunction with the Nevada State Health Division
and included provisions that will:
• Strengthen the authority of local health
authorities or officers of health districts to subpoena records related to an
ongoing investigation of a medical facility.
• Clarify statutory language as it relates to
the powers of a local health authority or officer of a health district during
disease investigations, including the ability to issue cease and desist orders
when an immediate hazard is identified at a health care facility, and
establishing methods to cover the costs of such disease investigations.
• Clarify the circumstances and method by
which information in an investigation is shared with law enforcement
authorities.
• Expand statutory definitions in “Chapter 441A
Communicable Diseases” to include: disease, exposure, outbreak, and significant
health event.
The expansion of the
definitions will provide health authorities with the necessary authority to
investigate issues such as elevated lead levels, suspected exposures to
biological, radiological or chemical agents and other significant events such
as the identification of unsafe injection practices that could lead to adverse
health effects.
In addition to the
recommendations that would enhance local public health authority, the Nevada
State Health Division made additional policy recommendations to expand and
solidify its ability to administer penalties, close facilities and assume
administration of medical records. These recommendations include:
• Allowing the State Board of Health to adopt
regulations to specify the conditions under which a medical facility can be
closed during an on-going investigation.
• Clarifying statutory language as it relates
to the power of the health division to fine medical facilities for violations.
• Giving authority to the health division to
take control over a facility’s medical records in the event the facility is
closed during the course of an investigation.
• Clarifying statutory language related to
sentinel events and establishing penalties for facilities that do not report a
sentinel event.
• Including the recommendations of a health
authority investigating a disease outbreak or potential exposure in any
statement of deficiency and requiring the appropriate response to be addressed
in the resulting action plan.
Through the joint
efforts of state and local health authorities we are confident we can work with
the health care community and the Legislative Committee on Health Care to
institute sound policies that serve to strengthen our ability to respond to
public health issues.
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Classifieds
Join us for a review and analysis of the
years events in workplace drug testing.
AAMROs Annual Drug Testing Symposium, November 7-9, 2008. The Mirage
Hotel,
Add another zip code to your letterhead by sharing
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“timeshare space” for lease. New medical
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SEEKING INTERNIST: Local
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seeking pediatrician:
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another physician. Great location. Excellent starting salary and benefit
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Business
Ernest Sussman, MD is
pleased to announce the opening of his solo practice specializing in Urology
with emphasis on sexual medicine, male infertility (vasectomy and reversals),
incontinence (female urology), and voiding disorders including BPH. For more information, please call
702-293-0176.
SUBLEASE MEDICAL SPACE: Great
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F 9-5 pm. Please call Julie, 234-7458.
for lease medical facility: Free
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Physician needed: Internal
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Established patient base waiting for your attention for growing multi
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resume to 702-893-0109.
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invites you to discover the benefits of going public. 702-222-9076.
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County Line
Nevada Mutual Insurance Company ….. 798-6001 ….. www.nevadamutual.com
Medicus……..512-467-2800 ……. www.medicusinsurance.com
Consultants in Marketing for Hutchison & Steffen ……944-2464 www.wemarketo.com
The Firm for Comprehensive Cancer Centers ….702-739-9933
SK+G for NV Cancer Institute … 478-4122 … www.skgadv.com
Ensemble Real Estate, LLC …. 562-7595
Premier Physicians Insurance Company…..860-6130 ... www.ppicmedmal.com
Status Group, LLC…. 702-252-7005 … www.statusgroupllc.com
Bozell & Jacobs for MX Secure ….402-965-4300 www.mxsecure.com
MassMedia for Territory … 702-433-4331 … www.massmediacc.com
E & S Medical Billing … 362-9494
21st Century Oncology ……274-2000 … www.21stcenturyoncology.com
Purdue Marion and Associates for Colliers International ………..702-222-2362
R&R Partners, Inc for Saint Mary’s Health Plans ….702-318-4331… www.rrpartners.com
Joe Kaufman Physician Mgnt Co …..702-318-6517
Bernhard Hodes Group for IPC the Hospitalists….. 713-690-0272
BJC Investments, LLC ……228-7464 …. www.priorityonecommercial.com
Nevada Docs Support Association, Inc ….. 702-215-4894… www.nvdocs.com
Medical Group Management Association ….. 697-5471 ext. 134
Merrill Lynch Michael Libraty .. 702-227-7030