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Brian Edward Grace, PA
Surgical Physician Assistant in Las Vegas, Nevada
NPI 1487746459

Brian Edward Grace is a Surgical Physician Assistant based in Las Vegas, NV and is specialized in Surgical. Brian Edward Grace practices in Las Vegas, NV and has the professional credentials of PA. The NPI Number for Brian Edward Grace is 1487746459 and holds a License No. PA727 (Nevada).

The current practice location address for Brian Edward Grace is 5188 Blissful Valley Cir, Las Vegas, NV and can be reached out via phone at 702-373-9929 and via fax at 800-886-2862. You can also correspond with Brian Edward Grace through the mailing address at 5188 BLISSFUL VALLEY CIR, LAS VEGAS, NV - 89149-5262 (mailing address contact number: 702-373-9929).

Location: 5188 Blissful Valley Cir, Las Vegas, NV, 89149-5262
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Provider Profile Details
NPI Number
1487746459
Provider Name
Brian Edward Grace
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5188 Blissful Valley Cir, Las Vegas, NV, 89149-5262
Phone Number
702-373-9929
Fax Number
800-886-2862
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002402144 05 NV
institution
Provider Business Practice Location Address Details
Address
5188 Blissful Valley Cir
City
State
Zip
89149-5262
Phone Number
702-373-9929
Fax Number
800-886-2862
person
Provider Business Mailing Address Details
Address
5188 Blissful Valley Cir
City
State
Zip
89149-5262
Phone Number
702-373-9929
Fax Number
800-886-2862
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA727 (Nevada)
Definition
Definition to come...
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