Desert Primary Care Pllc | |
5233 S Eastern Ave Las Vegas NV 89119-2311 | |
(702) 878-9500 | |
Not Available |
Full Name | Desert Primary Care Pllc |
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Speciality | Nurse Practitioner |
Location | 5233 S Eastern Ave, Las Vegas, Nevada |
Authorized Official Name and Position | Reena John (MANAGING DIRECTOR) |
Authorized Official Contact | 7028789500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Primary Care Pllc 5233 S Eastern Ave Las Vegas NV 89119-2311 Ph: (702) 878-9500 | Desert Primary Care Pllc 5233 S Eastern Ave Las Vegas NV 89119-2311 Ph: (702) 878-9500 |
NPI Number | 1396454070 |
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Provider Enumeration Date | 11/21/2022 |
Last Update Date | 05/15/2023 |
Medicare PECOS PAC ID | 3779952775 |
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Medicare Enrollment ID | O20221214001616 |
Identifier | Type | State | Issuer |
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1396454070 | NPI | - | NPPES |
Provider Name | Reena John |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801042528 PECOS PAC ID: 1850451402 Enrollment ID: I20081128000062 |
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