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NPI Code Detail

MEDICARE: JOHN M NOWINS MD LTD

MEDICARE: JOHN M NOWINS MD 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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1285838920
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN M NOWINS MD LTD
Provider Business Mailing Address
First Line : 3380 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3313
Country : US
Telephone Number : 702-791-3260
Fax Number : 702-791-3912
Provider Business Practice Location Address
First Line : 3380 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3313
Country : US
Telephone Number : 702-791-3260
Fax Number : 702-791-3912
Authorized Official
Title or Position : OWNER
Name : DR. JOHN M NOWINS
Credential : M.D.
Telephone Number : 702-791-3260
Provider Enumeration Date : 06/14/2007
Last Update Date : 11/13/2007

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