MEDICARE: OFFICE OF PAMELA S GRIFFITHS MD PLLC

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	261QM0850X	Adult Mental Health Clinic/Center	2000814650	NV

General Provider Information

NPI Number	:	1841519592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OFFICE OF PAMELA S GRIFFITHS MD PLLC

Provider Business Mailing Address
First Line	:	3230 S BUFFALO DR
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2505
Country	:	US
Telephone Number	:	702-254-1797
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 S BUFFALO DR
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2505
Country	:	US
Telephone Number	:	702-254-1797
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	DR. PAMELS SUE GRIFFITHS
Credential	:	MD
Telephone Number	:	702-254-1797

Provider Enumeration Date	:	05/20/2010
Last Update Date	:	05/20/2010

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