| Allen Medical Arts Pc | |
|
5915 S Rainbow Blvd Ste 105 Las Vegas NV 89118-2558 | |
| (702) 545-6111 | |
| (702) 727-8772 |
| Full Name | Allen Medical Arts Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5915 S Rainbow Blvd Ste 105, Las Vegas, Nevada |
| Authorized Official Name and Position | Lawrence Allen (OWNER) |
| Authorized Official Contact | 7025456111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Medical Arts Pc Po Box 400278 Las Vegas NV 89140-0278 Ph: (702) 545-6111 | Allen Medical Arts Pc 5915 S Rainbow Blvd Ste 105 Las Vegas NV 89118-2558 Ph: (702) 545-6111 |
| NPI Number | 1962193011 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 4981146578 |
|---|---|
| Medicare Enrollment ID | O20240611002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962193011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lawrence M Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174596142 PECOS PAC ID: 9436148202 Enrollment ID: I20040507000953 |
| Provider Name | Anthony Michael Valiente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124769732 PECOS PAC ID: 3577941459 Enrollment ID: I20220606000686 |
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