Gary M Deshazo Do Pc in Las Vegas - Family Medicine
Gary M Deshazo Do Pc - NPI 1821290115
Gary M Deshazo Do Pc is a Family Medicine in Las Vegas, Nevada. Gary M Deshazo Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary M Deshazo Do Pc is 1821290115. The last update date is 2022-05-16.
Gary M Deshazo Do Pc's current location address is 2901 N Tenaya Way Ste 100, Las Vegas, Nevada. You can contact this provider via phone number 7028708852 and fax number 7028708914. The mailing address for Gary M Deshazo Do Pc is 2901 N Tenaya Way Ste 100, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gary M Deshazo Do Pc |
|---|---|
| Address | 2901 N Tenaya Way Ste 100, Las Vegas, Nevada |
| Phone Number | 7028708852 |
| Fax Number | 7028708914 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Deshazo Max Gary |
| Credentials | DO |
| Telephone Number | 7028708852 |
NPI Number Detail
| NPI Number | 1821290115 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2022-05-16 |
Provider Mailing Address Detail
| Address | 2901 N Tenaya Way Ste 100 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891281404 |
| Phone Number | 7028708852 |
| Fax Number | 7028708914 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 113458 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1568512101 | NV | DESHAZO'S PERSONAL NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Gary M Deshazo Do Pc by the Centers for Medicare & Medicaid Services?
The Gary M Deshazo Do Pc has been issued the NPI (National Provider Identifier) 1821290115. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gary M Deshazo Do Pc is located?
The Gary M Deshazo Do Pc is situated at the following address: 2901 N Tenaya Way Ste 100, Las Vegas, NV, 891281404.
What is Gary M Deshazo Do Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary M Deshazo Do Pc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When was the Gary M Deshazo Do Pc's 1821290115 issued?
The Gary M Deshazo Do Pc's 1821290115 was issued on 2007-05-31.
When was the Gary M Deshazo Do Pc's information last updated?
The Gary M Deshazo Do Pc's information was last updated on 2022-05-16.
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