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NPI Code Detail

MEDICARE: WEKARE MEDICAL CENTER

MEDICARE: WEKARE MEDICAL CENTER
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
1261QM2500XMedical Specialty Clinic/Center
2261QP2300XPrimary Care Clinic/Center
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1184373003
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEKARE MEDICAL CENTER
Provider Business Mailing Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 27-430-7362
Fax Number :
Provider Business Practice Location Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 702-430-7362
Fax Number : 702-935-7624
Authorized Official
Title or Position : OWNER
Name : PHILLIP BLEDSOE
Credential :
Telephone Number : 725-577-8636
Provider Enumeration Date : 03/18/2022
Last Update Date : 07/17/2025

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Directions to “WEKARE MEDICAL CENTER ” Practice Location

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