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NPI Code Detail

MEDICARE: AFI Y BRUCE MD

MEDICARE: AFI Y BRUCE MD
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
1207R00000XInternal Medicine Physician8838NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00367729OTHERNVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28838OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1467410639
Entity Type Code : Individual
Provider Name (Legal Business Name) : AFI Y BRUCE MD
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 4275 BURNHAM AVE
Second Line : SUITE 270
City : LAS VEGAS
State : NV
Zip : 89119-5488
Country : US
Telephone Number : 702-946-5399
Fax Number : 702-946-5424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 10/17/2022

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Directions to “ AFI Y BRUCE MD” Practice Location

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