| Physician Associates Of Nevada Ltd | |
|
2900 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-5014 | |
| (702) 307-5522 | |
| (702) 991-7258 |
| Full Name | Physician Associates Of Nevada Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2900 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
| Authorized Official Name and Position | Todd Radivan (MANAGING DIRECTOR) |
| Authorized Official Contact | 7023075522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Associates Of Nevada Ltd 2900 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-5014 Ph: (702) 307-5522 | Physician Associates Of Nevada Ltd 2900 W Horizon Ridge Pkwy Ste 100 Henderson NV 89052-5014 Ph: (702) 307-5522 |
| NPI Number | 1417694019 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Medicare PECOS PAC ID | 0648659177 |
|---|---|
| Medicare Enrollment ID | O20220614000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417694019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Provider Name | Gary R Skankey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952386468 PECOS PAC ID: 2466466792 Enrollment ID: I20110201000304 |
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