MEDICARE: PINNACLE ANESTHESIA CONSULTANTS LLC

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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1184046997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE ANESTHESIA CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	7220 S CIMARRON RD
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2159
Country	:	US
Telephone Number	:	702-530-4222
Fax Number	:	702-878-3382

Provider Business Practice Location Address
First Line	:	7220 S CIMARRON RD
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2159
Country	:	US
Telephone Number	:	702-530-4222
Fax Number	:	702-878-3382

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VU H LUU
Credential	:	M.D.
Telephone Number	:	702-518-6362

Provider Enumeration Date	:	01/14/2014
Last Update Date	:	01/14/2014

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