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NPI Code Detail

MEDICARE: GEORGE ALAN WHEELER

MEDICARE:   GEORGE ALAN WHEELER
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
1174400000XSpecialist

General Provider Information

NPI Number : 1811485691
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE ALAN WHEELER
Provider Business Mailing Address
First Line : 2750 S DURANGO DR APT 2058
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2750 S DURANGO DR APT 2058
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2645
Country : US
Telephone Number : 702-613-2292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 04/26/2018

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Directions to “ GEORGE ALAN WHEELER ” Practice Location

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