Eldora Medical Associates Llc | |
6039 Eldora Ave Ste E Las Vegas NV 89146-5611 | |
(702) 228-4900 | |
(702) 228-1177 |
Full Name | Eldora Medical Associates Llc |
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Speciality | Psychiatry & Neurology |
Location | 6039 Eldora Ave Ste E, Las Vegas, Nevada |
Authorized Official Name and Position | Robert M Peprah (PRESIDENT OWNER) |
Authorized Official Contact | 7022284900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eldora Medical Associates Llc 6039 Eldora Ave Ste E Las Vegas NV 89146-5611 Ph: (702) 228-4900 | Eldora Medical Associates Llc 6039 Eldora Ave Ste E Las Vegas NV 89146-5611 Ph: (702) 228-4900 |
NPI Number | 1194804039 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 10/17/2018 |
Medicare PECOS PAC ID | 3779576673 |
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Medicare Enrollment ID | O20040407000569 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194804039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 6821 (Nevada) | Primary |
Provider Name | Robert M Peprah |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699794529 PECOS PAC ID: 3072506963 Enrollment ID: I20040406001346 |
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