Primary Care Of Southern Nevada in Henderson - Internal Medicine
Primary Care Of Southern Nevada - NPI 1821026824
Primary Care Of Southern Nevada is a Internal Medicine in Henderson, Nevada. Primary Care Of Southern Nevada practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Primary Care Of Southern Nevada is 1821026824. The last update date is 2007-10-23.
Primary Care Of Southern Nevada's current location address is 2225 Village Walk Dr, Henderson, Nevada. You can contact this provider via phone number 7029930333 and fax number 7029900336. The mailing address for Primary Care Of Southern Nevada is 2225 Village Walk Dr, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Care Of Southern Nevada |
|---|---|
| Address | 2225 Village Walk Dr, Henderson, Nevada |
| Phone Number | 7029930333 |
| Fax Number | 7029900336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Van Wagner Elan Kelly |
| Credentials | M.D. |
| Telephone Number | 7029900333 |
NPI Number Detail
| NPI Number | 1821026824 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 2225 Village Walk Dr |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890525679 |
| Phone Number | 7029930333 |
| Fax Number | 7029900336 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Primary Care Of Southern Nevada by the Centers for Medicare & Medicaid Services?
The Primary Care Of Southern Nevada has been issued the NPI (National Provider Identifier) 1821026824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Primary Care Of Southern Nevada?
The Primary Care Of Southern Nevada is physically situated at 2225 Village Walk Dr, in the city of Henderson, state of NV, with the postal code 890525679.
What is Primary Care Of Southern Nevada's area of expertise and its corresponding taxonomy classification?
The Primary Care Of Southern Nevada's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Primary Care Of Southern Nevada receive its 1821026824 assignment from the Centers for Medicare & Medicaid Services?
The Primary Care Of Southern Nevada was assigned its 1821026824 on 2006-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Primary Care Of Southern Nevada most recently updated or refreshed?
The details pertaining to the Primary Care Of Southern Nevada, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-23.
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