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NPI Code Detail

MEDICARE: WOMAN TO WOMAN GYNECOLOGY LLC

MEDICARE: WOMAN TO WOMAN GYNECOLOGY LLC
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
1363AM0700XMedical Physician Assistant
2363LX0001XObstetrics & Gynecology Nurse Practitioner
3207VG0400XGynecology Physician

General Provider Information

NPI Number : 1942484498
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMAN TO WOMAN GYNECOLOGY LLC
Provider Business Mailing Address
First Line : 7908 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1990
Country : US
Telephone Number : 702-531-5400
Fax Number : 702-731-5404
Provider Business Practice Location Address
First Line : 7908 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1990
Country : US
Telephone Number : 702-531-5400
Fax Number : 702-731-5404
Authorized Official
Title or Position : MANAGING MEMBER
Name : ANNA T CONTOMITROS
Credential : MD
Telephone Number : 702-531-5400
Provider Enumeration Date : 12/19/2007
Last Update Date : 03/16/2012

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Directions to “WOMAN TO WOMAN GYNECOLOGY LLC ” Practice Location

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