Organization · Type 2 NPI

A Nicknam PC

Family Medicine Physician · Las Vegas, NV

NPI number 1659501302 Active

Practice location

1712 Bearden Dr
Las Vegas, NV 89106-4107

Fax (702) 382-6622

Mailing address

PO Box 34717
Las Vegas, NV 89133-4717

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X11368 (NV)

Family Medicine Physician: 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 is not limited by age, sex, organ system, or disease entity.

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About NPI 1659501302

A Nicknam PC's National Provider Identifier is 1659501302, issued on Jul 15, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 31, 2013.