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NPI Code Detail

MEDICARE: ENDOSCOPIC INSTITUTE OF NEVADA

MEDICARE: ENDOSCOPIC INSTITUTE OF NEVADA
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
1261QE0800XEndoscopy Clinic/Center471ASC-9NV

General Provider Information

NPI Number : 1568410272
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDOSCOPIC INSTITUTE OF NEVADA
Provider Business Mailing Address
First Line : PO BOX 50652
Second Line :
City : HENDERSON
State : NV
Zip : 89016-0652
Country : US
Telephone Number : 702-699-5622
Fax Number : 702-796-5211
Provider Business Practice Location Address
First Line : 3777 PECOS MCLEOD
Second Line : SUITE 102
City : LAS VEGAS
State : NV
Zip : 89121-4264
Country : US
Telephone Number : 702-699-5622
Fax Number : 702-796-5211
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. GREGORY MARTIN KWOK
Credential : M.D.
Telephone Number : 702-699-5622
Provider Enumeration Date : 05/05/2006
Last Update Date : 10/09/2007

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Directions to “ENDOSCOPIC INSTITUTE OF NEVADA ” Practice Location

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