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NPI Code Detail

MEDICARE: MR. SPENCER REED MEIER PA-C

MEDICARE: MR. SPENCER REED MEIER PA-C
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
1363AM0700XMedical Physician AssistantPA1316NV

General Provider Information

NPI Number : 1306103148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SPENCER REED MEIER PA-C
Provider Business Mailing Address
First Line : 2285 CORPORATE CIR
Second Line : STE 200
City : HENDERSON
State : NV
Zip : 89074-7759
Country : US
Telephone Number : 702-360-2763
Fax Number : 949-783-2880
Provider Business Practice Location Address
First Line : 6460 MEDICAL CENTER ST STE 350
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2423
Country : US
Telephone Number : 702-255-6647
Fax Number : 702-933-1444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 05/07/2019

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