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NPI Code Detail

MEDICARE: NAOMI CHANEY M D LTD

MEDICARE: NAOMI CHANEY M D LTD
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
1207R00000XInternal Medicine Physician10571NV

General Provider Information

NPI Number : 1073853156
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAOMI CHANEY M D LTD
Provider Business Mailing Address
First Line : 5380 S RAINBOW BLVD STE 218
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1879
Country : US
Telephone Number : 702-319-5900
Fax Number : 702-319-5901
Provider Business Practice Location Address
First Line : 5380 S RAINBOW BLVD STE 218
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1879
Country : US
Telephone Number : 702-319-5900
Fax Number : 702-319-5901
Authorized Official
Title or Position : OWNER
Name : NAOMI CHANEY
Credential : M D
Telephone Number : 702-319-5900
Provider Enumeration Date : 02/26/2013
Last Update Date : 02/26/2013

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Directions to “NAOMI CHANEY M D LTD ” Practice Location

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