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NPI Code Detail

MEDICARE: SALVATORE M GUARNERA M.D.

MEDICARE:   SALVATORE M GUARNERA  M.D.
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
1207RP1001XPulmonary Disease Physician6771NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27470543OTHERNVAETNA GROUP PIN
3NV9223OTHERNVBCBS NV PIN
44421419OTHERNVAETNA INDIV PIN

General Provider Information

NPI Number : 1871575332
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVATORE M GUARNERA M.D.
Provider Business Mailing Address
First Line : PO BOX 43813
Second Line :
City : LAS VEGAS
State : NV
Zip : 89116-1813
Country : US
Telephone Number : 702-460-2304
Fax Number : 702-475-5926
Provider Business Practice Location Address
First Line : 3150 N TENAYA WAY
Second Line : SUITE 555
City : LAS VEGAS
State : NV
Zip : 89128-0443
Country : US
Telephone Number : 702-255-5903
Fax Number : 702-255-0001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 06/30/2014

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Directions to “ SALVATORE M GUARNERA M.D.” Practice Location

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