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NPI Code Detail

MEDICARE: LAS VEGAS PAIUTE TRIBE HEALTH & HUMAN SERVICES

MEDICARE: LAS VEGAS PAIUTE TRIBE HEALTH & HUMAN SERVICES
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1861511271
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS PAIUTE TRIBE HEALTH & HUMAN SERVICES
Provider Business Mailing Address
First Line : 1257 PAIUTE CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3202
Country : US
Telephone Number : 702-382-0784
Fax Number : 702-384-5272
Provider Business Practice Location Address
First Line : 1257 PAIUTE CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3202
Country : US
Telephone Number : 702-382-0784
Fax Number : 702-384-5272
Authorized Official
Title or Position : DIRECTOR
Name : MR. MICHAEL WATKINS
Credential :
Telephone Number : 702-382-0784
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “LAS VEGAS PAIUTE TRIBE HEALTH & HUMAN SERVICES ” Practice Location

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