Gladys Kodjoe, MD | |
350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | |
(702) 345-3312 | |
(702) 345-3374 |
Full Name | Gladys Kodjoe |
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Gender | Female |
Speciality | Internal Medicine |
Location | 350 Falcon Ridge Pkwy Ste 102, Mesquite, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326281882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13300 (Nevada) | Primary |
Entity Name | Aumbria Health And Aesthetics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902298243 PECOS PAC ID: 9830419381 Enrollment ID: O20150522001738 |
Mailing Address | Practice Location Address |
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Gladys Kodjoe, MD 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027-8879 Ph: (702) 345-3312 | Gladys Kodjoe, MD 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 Ph: (702) 345-3312 |
Mr. Joseph Jeppa Jeppson, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Bertha Howe Ave 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Enrique Alfaro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Dr. Gilbert Blancarte, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 786 W Pioneer Blvd Ste 1, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 | |
Matthew David Brockway, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027 Phone: 702-346-0800 |