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NPI Code Detail

MEDICARE: PATRICK SCOTT JAMESON PA-C

MEDICARE: PATRICK SCOTT JAMESON 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1538707393
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK SCOTT JAMESON PA-C
Provider Business Mailing Address
First Line : 2110 E FLAMINGO RD STE 213
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5193
Country : US
Telephone Number : 702-255-6647
Fax Number :
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 : 12/11/2019
Last Update Date : 09/24/2021

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Directions to “ PATRICK SCOTT JAMESON PA-C” Practice Location

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