MEDICARE: ERNESTO ARCADIO MCCOMBS D.O.

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	207R00000X	Internal Medicine Physician	660	NV

General Provider Information

NPI Number	:	1013974112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTO ARCADIO MCCOMBS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 27110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89126-1110
Country	:	US
Telephone Number	:	702-822-4441
Fax Number	:	702-822-1263

Provider Business Practice Location Address
First Line	:	501 S RANCHO DR
Second Line	:	SUITE C15
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4828
Country	:	US
Telephone Number	:	702-822-4441
Fax Number	:	702-822-1263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	11/14/2007

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Directions to “ ERNESTO ARCADIO MCCOMBS D.O.” Practice Location

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