Unknown Individual – General Practice Physician, NPI 1083617765
General Practice Physician
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Provider Addresses for Unknown Individual
Wynn Road, Clark County, Nevada, 89103, United States
LAS VEGAS, NV 891035406
Phone: (702) 430-3820
Fax: (702) 222-0645
Type: Location
4880, Wynn Road, Clark County, Nevada, 89103, United States
LAS VEGAS, NV 891035406
Phone: (702) 430-3820
Fax: (702) 222-0645
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89103)
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