Unknown Individual – Emergency Medicine Physician, NPI 1336193556
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
24, La Crosse Court, Anthem, Henderson, Clark County, Nevada, 89052, United States
HENDERSON, NV 890526608
Phone: (702) 525-9992
Type: Mailing
620, Shadow Lane, Las Vegas, Clark County, Nevada, 89106, United States
LAS VEGAS, NV 891064119
Phone: (702) 388-4500
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89052)
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