Moyer Medical Group | |
1500 E Tropicana Ave Ste 163 Las Vegas NV 89119-6516 | |
(702) 856-6838 | |
Not Available |
Full Name | Moyer Medical Group |
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Speciality | Clinic/Center |
Location | 1500 E Tropicana Ave Ste 163, Las Vegas, Nevada |
Authorized Official Name and Position | Joshua Moyer (NURSE PRACTITIONER) |
Authorized Official Contact | 7028566838 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moyer Medical Group 11459 Opal Springs Way Las Vegas NV 89135-3421 Ph: () - | Moyer Medical Group 1500 E Tropicana Ave Ste 163 Las Vegas NV 89119-6516 Ph: (702) 856-6838 |
NPI Number | 1174167746 |
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Provider Enumeration Date | 11/06/2019 |
Last Update Date | 11/06/2019 |
Medicare PECOS PAC ID | 2860826708 |
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Medicare Enrollment ID | O20191230002410 |
Identifier | Type | State | Issuer |
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1174167746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Joshua A Moyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376795849 PECOS PAC ID: 7315094380 Enrollment ID: I20090408000316 |
Provider Name | Claudine F Ziade |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508513409 PECOS PAC ID: 0749662724 Enrollment ID: I20220808002291 |
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