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A Nicknam Pc
Family Medicine Physician in Las Vegas, Nevada
NPI 1659501302

A Nicknam Pc is a Family Medicine Physician based in Las Vegas, NV. A Nicknam Pc practices in Las Vegas, NV. The NPI Number for A Nicknam Pc is 1659501302 and holds a License No. 11368 (Nevada).

The current practice location address for A Nicknam Pc is 1712 Bearden Dr, Las Vegas, NV and can be reached out via phone at 702-733-6622 and via fax at 702-382-6622.

Location: 1712 Bearden Dr, Las Vegas, NV, 89133-4717
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Provider Profile Details
NPI Number
1659501302
Provider Name
A Nicknam Pc
Credential
Provider Entity Type
Organization
Address
1712 Bearden Dr, Las Vegas, NV, 89133-4717
Phone Number
702-733-6622
Fax Number
702-382-6622
Provider Enumeration Date
07/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP615A 01 NV MEDICARE PTAN
1659501302 05 NV
institution
Provider Business Practice Location Address Details
Address
1712 Bearden Dr
City
State
Zip
89106-4107
Phone Number
702-733-6622
Fax Number
702-382-6622
person
Provider Business Mailing Address Details
Address
1712 Bearden Dr
City
State
Zip
89106-4107
Phone Number
702-733-6622
Fax Number
702-382-6622
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
11368 (Nevada)
Definition
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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