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NPI Code Detail

MEDICARE: ATKINSON, LTD

MEDICARE: ATKINSON, LTD
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
1207QB0002XObesity Medicine (Family Medicine) PhysicianDO1509NV
2207QA0505XAdult Medicine PhysicianDO1509NV

General Provider Information

NPI Number : 1801966791
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATKINSON, LTD
Provider Business Mailing Address
First Line : 3802 MEADOWS LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3112
Country : US
Telephone Number : 702-478-8446
Fax Number : 702-405-2263
Provider Business Practice Location Address
First Line : 3802 MEADOWS LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3112
Country : US
Telephone Number : 702-478-8446
Fax Number : 702-405-2263
Authorized Official
Title or Position : OWNER
Name : DR. JAMES DEE ATKINSON
Credential : M.D.
Telephone Number : 702-313-8446
Provider Enumeration Date : 11/08/2006
Last Update Date : 09/19/2012

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Directions to “ATKINSON, LTD ” Practice Location

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