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2881 S Valley View Blvd Ste 1 Las Vegas NV 89102-0145 | |
| (702) 922-7015 | |
| (702) 922-6600 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2881 S Valley View Blvd Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Patrick R Scott (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7029227015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2881 S Valley View Blvd Ste 1 Las Vegas NV 89102-0145 Ph: (702) 922-7015 | 2881 S Valley View Blvd Ste 1 Las Vegas NV 89102-0145 Ph: (702) 922-7015 |
| NPI Number | 1881842953 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 4486788346 |
|---|---|
| Medicare Enrollment ID | O20100813000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881842953 | NPI | - | NPPES |
| Provider Name | Patrick R Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184633349 PECOS PAC ID: 3173525292 Enrollment ID: I20070202000167 |
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