Allen Bradford Thach in Las Vegas - Retina Specialist
Allen Bradford Thach - NPI 1457305625
Allen Bradford Thach is a Retina Specialist in Las Vegas, Nevada. Allen Bradford Thach practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Allen Bradford Thach is 1457305625. The last update date is 2018-08-17.
Allen Bradford Thach's current location address is 653 N Town Center Drive, Las Vegas, Nevada. You can contact this provider via phone number 7023690200 and fax number 7022438383. The mailing address for Allen Bradford Thach is 653 N Town Center Drive, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen Bradford Thach |
|---|---|
| Address | 653 N Town Center Drive, Las Vegas, Nevada |
| Phone Number | 7023690200 |
| Fax Number | 7022438383 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457305625 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2018-08-17 |
Provider Mailing Address Detail
| Address | 653 N Town Center Drive |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 89144 |
| Phone Number | 7023690200 |
| Fax Number | 7022438383 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 10505 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC6532 | NV | BCBS ANTHEM | |
| P00082830 | NV | RAILROAD MEDICARE | |
| 100500619 | NV | -- |
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What is the unique identifier code issued to Allen Bradford Thach by the Centers for Medicare & Medicaid Services?
The Allen Bradford Thach has been assigned the NPI (National Provider Identifier) 1457305625. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Allen Bradford Thach?
The Allen Bradford Thach is physically situated at 653 N Town Center Drive, in the city of Las Vegas, state of NV, with the postal code 89144.
What is Allen Bradford Thach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Allen Bradford Thach is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
When was the Allen Bradford Thach's 1457305625 issued?
The Allen Bradford Thach's 1457305625 was issued on 2006-05-20.
As of what date were the Allen Bradford Thach's details last updated?
The information pertaining to the Allen Bradford Thach, including its address, specialty, and other details, was most recently updated on 2018-08-17.