MEDICARE: A L POLLARD RAINBOW HOSPITALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1073725214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A L POLLARD RAINBOW HOSPITALISTS

Provider Business Mailing Address
First Line	:	PO BOX 81020
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89180-1020
Country	:	US
Telephone Number	:	702-255-6653
Fax Number	:	702-243-7772

Provider Business Practice Location Address
First Line	:	1331 S RAINBOW BLVD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9080
Country	:	US
Telephone Number	:	702-255-9300
Fax Number	:	702-243-7772

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	DENISE DALZELL
Credential	:
Telephone Number	:	702-255-9300

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/25/2008

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