Jefferson Irving Grey in Las Vegas - Physician Assistant
Jefferson Irving Grey - NPI 1164556825
Jefferson Irving Grey is a Physician Assistant in Las Vegas, Nevada. Jefferson Irving Grey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jefferson Irving Grey is 1164556825. The last update date is 2010-01-19.
Jefferson Irving Grey's current location address is 8407 Amherst Valley St, Las Vegas, Nevada. You can contact this provider via phone number 7026161563. The mailing address for Jefferson Irving Grey is 8407 Amherst Valley St, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jefferson Irving Grey |
|---|---|
| Address | 8407 Amherst Valley St, Las Vegas, Nevada |
| Phone Number | 7026161563 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164556825 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2010-01-19 |
Provider Mailing Address Detail
| Address | 8407 Amherst Valley St |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891232474 |
| Phone Number | 7026161563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 478 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Jefferson Irving Grey's unique identification number?
The Jefferson Irving Grey has been assigned the NPI (National Provider Identifier) Number 1164556825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jefferson Irving Grey's facilities are situated?
The facilities of Jefferson Irving Grey are physically located at the following address: 8407 Amherst Valley St, Las Vegas, NV, 891232474.
What is Jefferson Irving Grey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jefferson Irving Grey's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164556825 to Jefferson Irving Grey?
The Jefferson Irving Grey received its 1164556825 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.
As of what date were the Jefferson Irving Grey's details last updated?
The information pertaining to the Jefferson Irving Grey, including its address, specialty, and other details, was most recently updated on 2010-01-19.
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