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NPI Code Detail

MEDICARE: DR. JOHN MASON MCKITTRICK

MEDICARE: DR. JOHN MASON MCKITTRICK
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianDO2382NV

General Provider Information

NPI Number : 1891879706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MASON MCKITTRICK
Provider Business Mailing Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 702-202-2060
Fax Number : 702-605-2892
Provider Business Practice Location Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 702-202-2060
Fax Number : 702-605-2892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/14/2024

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Directions to “ DR. JOHN MASON MCKITTRICK ” Practice Location

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