Gary Max Deshazo in Las Vegas - Family Medicine
Gary Max Deshazo - NPI 1568512101
Gary Max Deshazo is a Family Medicine in Las Vegas, Nevada. Gary Max Deshazo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Max Deshazo is 1568512101. The last update date is 2022-02-17.
Gary Max Deshazo'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 Max Deshazo is 2901 N Tenaya Way Ste 100, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Max Deshazo |
|---|---|
| Address | 2901 N Tenaya Way Ste 100, Las Vegas, Nevada |
| Phone Number | 7028708852 |
| Fax Number | 7028708914 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1568512101 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2022-02-17 |
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 | 380 |
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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 |
|---|---|---|---|
| CC4619 | NV | BLUE CROSS PIN | |
| 2002672 | NV | -- |
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What is the Gary Max Deshazo's unique identification number?
The Gary Max Deshazo has been assigned the NPI (National Provider Identifier) Number 1568512101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gary Max Deshazo located?
The Gary Max Deshazo is located at 2901 N Tenaya Way Ste 100, Las Vegas, NV 891281404.
What is Gary Max Deshazo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Max Deshazo's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Gary Max Deshazo receive its 1568512101 assignment?
The Gary Max Deshazo was assigned its 1568512101 on 2007-01-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Gary Max Deshazo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Max Deshazo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-17.