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NPI Code Detail

MEDICARE: ALEC J ERHARD DO

MEDICARE:   ALEC J ERHARD  DO
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
1207P00000XEmergency Medicine PhysicianDO4076NV
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1093417610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEC J ERHARD DO
Provider Business Mailing Address
First Line : 2720 REGENERATE LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-6116
Country : US
Telephone Number : 763-213-2841
Fax Number :
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-962-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 06/23/2026

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