Healthcare Provider Details

I. General information

NPI: 1750607396
Provider Name (Legal Business Name): APPIAN MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7660 W CHEYENNE AVE STE 110
LAS VEGAS NV
89129-6757
US

IV. Provider business mailing address

7660 W CHEYENNE AVE STE 110
LAS VEGAS NV
89129-6757
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-5456
  • Fax: 702-240-1692
Mailing address:
  • Phone: 702-240-5456
  • Fax: 702-240-1692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4655
License Number StateNV

VIII. Authorized Official

Name: LARRY YEE
Title or Position: DOCTOR
Credential: MD
Phone: 702-240-5456