| Gwc Do Pc | |
|
6970 W Patrick Ln #140 Las Vegas NV 89113-0269 | |
| (702) 450-1717 | |
| (702) 947-6740 |
| Full Name | Gwc Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6970 W Patrick Ln, Las Vegas, Nevada |
| Authorized Official Name and Position | Gar Win Chung (PRESIDENT) |
| Authorized Official Contact | 7024501717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwc Do Pc 6970 W Patrick Ln #140 Las Vegas NV 89113-0269 Ph: (702) 450-1717 | Gwc Do Pc 6970 W Patrick Ln #140 Las Vegas NV 89113-0269 Ph: (702) 450-1717 |
| NPI Number | 1871852103 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Medicare PECOS PAC ID | 9739343625 |
|---|---|
| Medicare Enrollment ID | O20120605000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871852103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO1669 (Nevada) | Primary |
| Provider Name | Gar W Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013147099 PECOS PAC ID: 8729242631 Enrollment ID: I20120605000640 |
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