| Gitlin Gastroenterology Prof Corp | |
|
7110 Smoke Ranch Rd Las Vegas NV 89128-3157 | |
| (702) 869-5544 | |
| Not Available |
| Full Name | Gitlin Gastroenterology Prof Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 7110 Smoke Ranch Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Laura Gitlin (PRESIDENT) |
| Authorized Official Contact | 7028695544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gitlin Gastroenterology Prof Corp 7110 Smoke Ranch Rd Las Vegas NV 89128-3157 Ph: (702) 869-5544 | Gitlin Gastroenterology Prof Corp 7110 Smoke Ranch Rd Las Vegas NV 89128-3157 Ph: (702) 869-5544 |
| NPI Number | 1528308871 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 1850536426 |
|---|---|
| Medicare Enrollment ID | O20130402000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528308871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 7692 (Nevada) | Primary |
| Provider Name | Laura G Gitlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023017696 PECOS PAC ID: 2961473723 Enrollment ID: I20040804001071 |
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