Peter Antoune Jo Bou-Daher in Las Vegas - Medical

Peter Antoune Jo Bou-Daher - NPI 1285821470

Peter Antoune Jo Bou-Daher is a Medical in Las Vegas, Nevada. Peter Antoune Jo Bou-Daher practices all healthcare services and medical treatments related to Medical. The NPI Number for Peter Antoune Jo Bou-Daher is 1285821470. The last update date is 2022-03-13.

Peter Antoune Jo Bou-Daher's current location address is 1800 W. Charleston Blvd., Las Vegas, Nevada. You can contact this provider via phone number 7023832000 and fax number 7026716883. The mailing address for Peter Antoune Jo Bou-Daher is 1800 W. Charleston Blvd., Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Antoune Jo Bou-Daher
Address 1800 W. Charleston Blvd., Las Vegas, Nevada
Phone Number 7023832000
Fax Number 7026716883
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1285821470
Provider Enumeration Date 2007-10-02
Last Updated Date 2022-03-13

Provider Mailing Address Detail

Address 1800 W. Charleston Blvd.
City Las Vegas
State Nevada (NV)
Post Code 89102
Phone Number 7023832000
Fax Number 7026716883

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA1069
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1285821470 NV --

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FAQs about Peter Antoune Jo Bou-Daher

What is the Peter Antoune Jo Bou-Daher's 1285821470?

The Peter Antoune Jo Bou-Daher's NPI (National Provider Identifier) Number is 1285821470. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Peter Antoune Jo Bou-Daher is physically located?

The Peter Antoune Jo Bou-Daher is situated at the following address: 1800 W. Charleston Blvd., Las Vegas, NV 89102.

What is the Peter Antoune Jo Bou-Daher's area of specialization and corresponding taxonomy classification?

The Peter Antoune Jo Bou-Daher's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did Peter Antoune Jo Bou-Daher receive its 1285821470 assignment from the Centers for Medicare & Medicaid Services?

The Peter Antoune Jo Bou-Daher was assigned its 1285821470 on 2007-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Peter Antoune Jo Bou-Daher, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peter Antoune Jo Bou-Daher, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-13.

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