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NPI Code Detail

MEDICARE: ADVANCED HOUSE CALLS INC

MEDICARE: ADVANCED HOUSE CALLS INC
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
1174400000XSpecialist7997NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CJ6201OTHERNVGROUP ID RR

General Provider Information

NPI Number : 1295732451
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HOUSE CALLS INC
Provider Business Mailing Address
First Line : 112 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2614
Country : US
Telephone Number : 702-838-7110
Fax Number : 702-838-7112
Provider Business Practice Location Address
First Line : 112 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2614
Country : US
Telephone Number : 702-838-7110
Fax Number : 702-838-7112
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. GREGORY K BRYAN
Credential : M.D.
Telephone Number : 702-838-7110
Provider Enumeration Date : 07/02/2005
Last Update Date : 11/02/2009

Similar Medicare Providers

1598765984 — DR. GREGORY K. BRYAN M.D.
Practice Location Address:
112 S JONES BLVD
LAS VEGAS, NV
89107-2614
Practice Phone: 702-838-7110
Practice Fax: 702-838-7112
1821098104 — MR. MICHAEL J. SULLIVAN M.S., P.A.-C
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1053528828 — PACIFIC PEDORTHIC SERVICES
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LAS VEGAS, NV
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1508108481 — JEFF NGUYEN
Practice Location Address:
112 S JONES BLVD
LAS VEGAS, NV
89107-2614
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Practice Fax:
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Practice Location Address:
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1396203758 — SYDNEY LAUREN EGAN APRN
Practice Location Address:
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Directions to “ADVANCED HOUSE CALLS INC ” Practice Location

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