MEDICARE: DR. PHILIP M HESS MD

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	207P00000X	Emergency Medicine Physician	9945	NV

General Provider Information

NPI Number	:	1043266836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP M HESS MD

Provider Business Mailing Address
First Line	:	2251 N RAMPART BLVD # 248
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7640
Country	:	US
Telephone Number	:	702-501-9631
Fax Number	:

Provider Business Practice Location Address
First Line	:	3955 N PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115
Country	:	US
Telephone Number	:	702-555-1212
Fax Number	:

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	06/11/2021

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