MEDICARE: COMPASSIONATE OBSTETRICIAN

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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1013610666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE OBSTETRICIAN

Provider Business Mailing Address
First Line	:	7761 ALCOVE SPRINGS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3671
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7761 ALCOVE SPRINGS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3671
Country	:	US
Telephone Number	:	888-224-0804
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DAVID HOWARD
Credential	:
Telephone Number	:	973-951-6605

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	03/23/2023

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Directions to “COMPASSIONATE OBSTETRICIAN ” Practice Location

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