MEDICARE: WOLFSON & WOLFSON LLP

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1376635045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOLFSON & WOLFSON LLP

Provider Business Mailing Address
First Line	:	6803 W TROPICANA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4927
Country	:	US
Telephone Number	:	702-452-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	6803 W TROPICANA AVE
Second Line	:	STE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4926
Country	:	US
Telephone Number	:	702-452-2525
Fax Number	:	702-452-2534

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. AMY E SCHMIDT
Credential	:
Telephone Number	:	702-566-5343

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	05/30/2023

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