| Great West Medical Associates | |
|
3150 N Tenaya Way Suite 525 Las Vegas NV 89128-0443 | |
| (702) 220-9865 | |
| (702) 251-8196 |
| Full Name | Great West Medical Associates |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3150 N Tenaya Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Clifford Carrol (PARTNER) |
| Authorized Official Contact | 7022209865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great West Medical Associates Po Box 34795 Las Vegas NV 89133-4795 Ph: (702) 220-9865 | Great West Medical Associates 3150 N Tenaya Way Suite 525 Las Vegas NV 89128-0443 Ph: (702) 220-9865 |
| NPI Number | 1750556940 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750556940 | NPI | - | NPPES |
| 1750556940 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Nevada) | Primary |
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