Dr Kory R Bodily, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | |
(702) 653-3550 | |
Not Available |
Full Name | Dr Kory R Bodily |
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Gender | Male |
Speciality | Anesthesiology |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215135215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01061824A (Indiana) | Primary |
Entity Name | Fielden,hanson,isaacs,miyada,robison,yeh Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699710749 PECOS PAC ID: 5799683462 Enrollment ID: O20031219000623 |
Mailing Address | Practice Location Address |
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Dr Kory R Bodily, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3550 | Dr Kory R Bodily, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Ph: (702) 653-3550 |
Dr. Kimberly Duarte, M.D., MBA Anesthesiology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Matthew Vanderhoek, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Douglas B Mulliner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3550 | |
Dr. Joseph Stuart, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Tomasz Woloszyn, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Suite 3-3344, Nellis Afb, NV 89191 Phone: 702-653-1110 | |
Dr. Cheng Han Yang, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |