Pahrump Physical Medicine Llc | |
1151 S Highway 160 Pahrump NV 89048 | |
(775) 473-5050 | |
Not Available |
Full Name | Pahrump Physical Medicine Llc |
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Speciality | Family Medicine |
Location | 1151 S Highway 160, Pahrump, Nevada |
Authorized Official Name and Position | Daniel Griffith (MANAGING PARTNER) |
Authorized Official Contact | 7754735050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pahrump Physical Medicine Llc 1151 S Highway 160 Pahrump NV 89048 Ph: () - | Pahrump Physical Medicine Llc 1151 S Highway 160 Pahrump NV 89048 Ph: (775) 473-5050 |
NPI Number | 1568290856 |
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Provider Enumeration Date | 07/26/2024 |
Last Update Date | 07/26/2024 |
Medicare PECOS PAC ID | 7517407844 |
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Medicare Enrollment ID | O20240912002608 |
Identifier | Type | State | Issuer |
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1568290856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Beraldo A Vazquez Correa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417901901 PECOS PAC ID: 3072552819 Enrollment ID: I20050429000936 |
Provider Name | Derek L Griffith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841999505 PECOS PAC ID: 4880052810 Enrollment ID: I20230622002183 |
Ryse N Shine Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 S Highway 160, Unit 101, Pahrump, NV 89048 Phone: 760-382-5115 Fax: 702-825-7893 | |
Pahrump Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1280 E Calvada Blvd, Pahrump, NV 89048 Phone: 775-910-9811 Fax: 775-751-3056 |