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1151 S Nevada Highway 160 Pahrump NV 89048 | |
(775) 727-8900 | |
(775) 727-9452 |
Full Name | |
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Speciality | Family Medicine |
Location | 1151 S Nevada Highway 160, Pahrump, Nevada |
Authorized Official Name and Position | Matthew B Roberson (PRESIDENT) |
Authorized Official Contact | 7757278900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1151 S Nevada Highway 160 Pahrump NV 89048-4700 Ph: (775) 727-8900 | 1151 S Nevada Highway 160 Pahrump NV 89048 Ph: (775) 727-8900 |
NPI Number | 1063989606 |
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Provider Enumeration Date | 11/01/2018 |
Last Update Date | 08/06/2019 |
Medicare PECOS PAC ID | 5092044255 |
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Medicare Enrollment ID | O20190912002966 |
Identifier | Type | State | Issuer |
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1063989606 | NPI | - | NPPES |
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 | Sean S Gupton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396796504 PECOS PAC ID: 9436122264 Enrollment ID: I20171108002244 |
Provider Name | Markeeta Dawn Araujo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285106724 PECOS PAC ID: 4688942097 Enrollment ID: I20190522001767 |
Provider Name | Peaches Duon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326622788 PECOS PAC ID: 1254732530 Enrollment ID: I20210702002115 |
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 |