MEDICARE: ARNOLD WAX 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
1	207RH0003X	Hematology & Oncology Physician	5552	NV

General Provider Information

NPI Number	:	1457415663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNOLD WAX MD LTD

Provider Business Mailing Address
First Line	:	2245 N GREEN VALLEY PKWY
Second Line	:	SUITE 502
City	:	HENDERSON
State	:	NV
Zip	:	89014-5024
Country	:	US
Telephone Number	:	702-897-5283
Fax Number	:	702-949-0827

Provider Business Practice Location Address
First Line	:	3509 E HARMON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5028
Country	:	US
Telephone Number	:	702-547-2273
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARNOLD WAX
Credential	:	MD
Telephone Number	:	702-897-5283

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	01/27/2009

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