Desert Preventative And Diagnostic Medicine | |
10001 S Eastern Ave Suite 402 Henderson NV 89052-3907 | |
(702) 617-8684 | |
(702) 617-2560 |
Full Name | Desert Preventative And Diagnostic Medicine |
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Speciality | Internal Medicine |
Location | 10001 S Eastern Ave, Henderson, Nevada |
Authorized Official Name and Position | Steven Paul Winkler (PHYSICIAN OWNER) |
Authorized Official Contact | 7026178684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Preventative And Diagnostic Medicine Po Box 50823 Henderson NV 89016-0823 Ph: (702) 617-8684 | Desert Preventative And Diagnostic Medicine 10001 S Eastern Ave Suite 402 Henderson NV 89052-3907 Ph: (702) 617-8684 |
NPI Number | 1053476010 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 09/25/2007 |
Medicare PECOS PAC ID | 8022111343 |
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Medicare Enrollment ID | O20070307000108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053476010 | NPI | - | NPPES |
002019984 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7842 (Nevada) | Primary |
Provider Name | Steven P Winkler |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447227889 PECOS PAC ID: 8224036959 Enrollment ID: I20070130000047 |
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