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NPI Code Detail

MEDICARE: ALLIANCE FOR CHILDHOOD DISEASES

MEDICARE: ALLIANCE FOR CHILDHOOD DISEASES
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
12080P0207XPediatric Hematology & Oncology Physician
22080P0216XPediatric Rheumatology Physician13451NV
32080P0216XPediatric Rheumatology Physician
42251P0200XPediatric Physical Therapist
5103TC0700XClinical Psychologist
6207SG0201XClinical Genetics (M.D.) Physician12808NV
7207XP3100XPediatric Orthopaedic Surgery Physician
82080P0207XPediatric Hematology & Oncology Physician8353NV

General Provider Information

NPI Number : 1013292689
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE FOR CHILDHOOD DISEASES
Provider Business Mailing Address
First Line : 10170 W TROPICANA AVE # 156-252
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8465
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Provider Business Practice Location Address
First Line : 1 BREAKTHROUGH WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-3011
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTINE TONN
Credential :
Telephone Number : 702-691-5703
Provider Enumeration Date : 10/14/2011
Last Update Date : 11/14/2022

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Directions to “ALLIANCE FOR CHILDHOOD DISEASES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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