MEDICARE: UNLV MEDICINE

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1407397235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLV MEDICINE

Provider Business Mailing Address
First Line	:	3016 W CHARLESTON BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1973
Country	:	US
Telephone Number	:	702-895-0497
Fax Number	:	702-895-0074

Provider Business Practice Location Address
First Line	:	3016 W CHARLESTON BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1973
Country	:	US
Telephone Number	:	702-895-0497
Fax Number	:	702-895-0074

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOANN STROBBE
Credential	:	M.ED
Telephone Number	:	702-272-1352

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	08/15/2022

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