| 99th Medical Group, Nellis Afb | |
|
4700 Las Vegas Blvd N Mike O'callaghan Federal Hospital Nellis Afb NV 89191-6600 | |
| (702) 653-2616 | |
| Not Available |
| Full Name | 99th Medical Group, Nellis Afb |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Authorized Official Name and Position | Markham Brown (CHIEF OF MEDICAL SERVICES) |
| Authorized Official Contact | 7026532000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 99th Medical Group, Nellis Afb 4700 Las Vegas Blvd N Mike O'callaghan Federal Hospital Nellis Afb NV 89191-6600 Ph: (702) 653-2616 | 99th Medical Group, Nellis Afb 4700 Las Vegas Blvd N Mike O'callaghan Federal Hospital Nellis Afb NV 89191-6600 Ph: (702) 653-2616 |
| NPI Number | 1740261122 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740261122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5434 (Kentucky) | Primary |