| Edicine Im PLLC | |
|
2551 N Green Valley Pkwy Ste 425a Henderson NV 89014-0272 | |
| (702) 423-9566 | |
| Not Available |
| Full Name | Edicine Im PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2551 N Green Valley Pkwy Ste 425a, Henderson, Nevada |
| Authorized Official Name and Position | Michael Paul Carson (BILLING MANAGER) |
| Authorized Official Contact | 4806261415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edicine Im PLLC 34597 N 60rh Street Suite 110 Scottsdale AZ 85266-5241 Ph: (480) 488-8020 | Edicine Im PLLC 2551 N Green Valley Pkwy Ste 425a Henderson NV 89014-0272 Ph: (702) 423-9566 |
| NPI Number | 1982388054 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982388054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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