Desert Springs Medical Group-atkinson Pc | |
3802 Meadows Ln, Las Vegas, NV 89107-3112 | |
(702) 313-8446 | |
Not Available |
Full Name | Desert Springs Medical Group-atkinson Pc |
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Type | Facility |
Speciality | Surgery |
Location | 3802 Meadows Ln, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801152855 | NPI | - | NPPES |
1801152855 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Provider Name | Darren W Soong |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982696860 PECOS PAC ID: 5597704528 Enrollment ID: I20071008000057 |
Provider Name | James D Atkinson |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1629160627 PECOS PAC ID: 2860479466 Enrollment ID: I20071026000031 |
Provider Name | Karen Jean Wright |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1154765220 PECOS PAC ID: 8628204500 Enrollment ID: I20131125000415 |
Provider Name | Michelle O Mallory |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1477963650 PECOS PAC ID: 2466671375 Enrollment ID: I20140908001732 |
Provider Name | Marc R Leduc |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1578767216 PECOS PAC ID: 0840426524 Enrollment ID: I20170712003808 |
Mailing Address | Practice Location Address |
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Desert Springs Medical Group-atkinson Pc 367 S Gulph Rd, King Of Prussia, PA 19406-3121 Ph: (775) 356-9393 | Desert Springs Medical Group-atkinson Pc 3802 Meadows Ln, Las Vegas, NV 89107-3112 Ph: (702) 313-8446 |