Concierge Care Physicians, Llp | |
2450 W Horizon Ridge Pkwy Ste 150 Henderson NV 89052-2722 | |
(702) 990-0622 | |
(702) 938-1473 |
Full Name | Concierge Care Physicians, Llp |
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Speciality | Internal Medicine |
Location | 2450 W Horizon Ridge Pkwy Ste 150, Henderson, Nevada |
Authorized Official Name and Position | Russell N. Neibaur (PHYSICIAN) |
Authorized Official Contact | 7029900622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concierge Care Physicians, Llp 2450 W Horizon Ridge Pkwy Ste 150 Henderson NV 89052-2722 Ph: (702) 990-0622 | Concierge Care Physicians, Llp 2450 W Horizon Ridge Pkwy Ste 150 Henderson NV 89052-2722 Ph: (702) 990-0622 |
NPI Number | 1104850163 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 07/30/2024 |
Medicare PECOS PAC ID | 3678578051 |
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Medicare Enrollment ID | O20060918000208 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104850163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Russell N Neibaur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093788051 PECOS PAC ID: 9436148228 Enrollment ID: I20040507000641 |
Provider Name | Justin W Terry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235453093 PECOS PAC ID: 2769622166 Enrollment ID: I20130708000703 |
Provider Name | Brandon D Jensen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821476797 PECOS PAC ID: 3779892120 Enrollment ID: I20180530000620 |
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