| Phillips Clinic | |
|
5970c S Rainbow Blvd #100 Las Vegas NV 89118 | |
| (702) 363-4000 | |
| (702) 362-0086 |
| Full Name | Phillips Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5970c S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Mitchel Phillips (OWNER PHYSICIAN) |
| Authorized Official Contact | 7023634000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Clinic 5970c S Rainbow Blvd #100 Las Vegas NV 89118 Ph: (702) 363-4000 | Phillips Clinic 5970c S Rainbow Blvd #100 Las Vegas NV 89118 Ph: (702) 363-4000 |
| NPI Number | 1518052406 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/09/2019 |
| Medicare PECOS PAC ID | 0042270183 |
|---|---|
| Medicare Enrollment ID | O20041013001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518052406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0291 (Nevada) | Primary |
| Provider Name | Mitchel E Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083830590 PECOS PAC ID: 2466412507 Enrollment ID: I20041014000843 |
| Provider Name | Julie A Gidvani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811148927 PECOS PAC ID: 8123162039 Enrollment ID: I20100216000500 |
| Provider Name | Craig M Weingrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083934822 PECOS PAC ID: 5597913285 Enrollment ID: I20120921000615 |
| Provider Name | Kenneth Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770049264 PECOS PAC ID: 0042552556 Enrollment ID: I20190502002975 |
| Provider Name | Hannah Marie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093438012 PECOS PAC ID: 7911349790 Enrollment ID: I20240524000562 |
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