Individual provider · Type 1 NPI

Gerard John Connelly, PAC

Surgical Physician Assistant · North Las Vegas, NV

NPI number 1992774152 Active

Practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

3196 S Maryland Pkwy, Suite 101
Las Vegas, NV 89109

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA873 (NV)
Surgical Physician Assistant Primary 363AS0400XPA873 (NV)

Surgical Physician Assistant: Definition to come...

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About NPI 1992774152

Gerard John Connelly, PAC's National Provider Identifier is 1992774152, issued on Mar 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in North Las Vegas, NV. The record was last updated on Jun 29, 2023.