| Sharon E Ruch Md Pllc | |
|
10604 San Bellacova Ct Las Vegas NV 89141-3985 | |
| (702) 614-1250 | |
| (949) 215-5044 |
| Full Name | Sharon E Ruch Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10604 San Bellacova Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Sharon E Ruch (OWNER MEDICAL DIRECTOR) |
| Authorized Official Contact | 7026141250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon E Ruch Md Pllc 10604 San Bellacova Ct Las Vegas NV 89141-3985 Ph: (702) 614-1250 | Sharon E Ruch Md Pllc 10604 San Bellacova Ct Las Vegas NV 89141-3985 Ph: (702) 614-1250 |
| NPI Number | 1043677784 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 8729383104 |
|---|---|
| Medicare Enrollment ID | O20160223000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043677784 | NPI | - | NPPES |
| 12553 | Other | NV | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12553 (Nevada) | Primary |
| Provider Name | Sharon E Ruch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619174307 PECOS PAC ID: 9133200785 Enrollment ID: I20080122000025 |
| Provider Name | Gerald Lynn Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700441094 PECOS PAC ID: 4880923119 Enrollment ID: I20190911001044 |
| Provider Name | Macey Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275199820 PECOS PAC ID: 3870823479 Enrollment ID: I20190925000425 |
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