| Portney Medical Group Ltd | |
|
9417 Queen Charlotte Dr Las Vegas NV 89145-8707 | |
| (702) 240-0874 | |
| (702) 240-3627 |
| Full Name | Portney Medical Group Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 9417 Queen Charlotte Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Alexander Leon Portney (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7022400874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portney Medical Group Ltd 810 S Durango Dr Suite 100 Las Vegas NV 89145-2423 Ph: (702) 240-0874 | Portney Medical Group Ltd 9417 Queen Charlotte Dr Las Vegas NV 89145-8707 Ph: (702) 240-0874 |
| NPI Number | 1962604884 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962604884 | NPI | - | NPPES |
| 100506921 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9534 (Nevada) | Primary |
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