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NPI Code Detail

MEDICARE: MR. GARRICK MCNEECE PRSS

MEDICARE: MR. GARRICK MCNEECE PRSS
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
1175T00000XPeer SpecialistPRSS-5122NV

General Provider Information

NPI Number : 1518698612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARRICK MCNEECE PRSS
Provider Business Mailing Address
First Line : 601 CABRILLO CIR UNIT 857
Second Line :
City : HENDERSON
State : NV
Zip : 89015-6098
Country : US
Telephone Number : 702-489-1201
Fax Number :
Provider Business Practice Location Address
First Line : 526 S TONOPAH DR STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4013
Country : US
Telephone Number : 702-622-2491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 05/31/2026

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