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NPI Code Detail

MEDICARE: DR. GARY ALLEN PALMER M.D.

MEDICARE: DR. GARY ALLEN PALMER M.D.
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
1207RH0003XHematology & Oncology PhysicianG49924CA
2207RX0202XMedical Oncology Physician17887NV

General Provider Information

NPI Number : 1568513059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY ALLEN PALMER M.D.
Provider Business Mailing Address
First Line : 4575 DEAN MARTIN DR UNIT 1800
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-8207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6827 W TROPICANA AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4920
Country : US
Telephone Number : 702-508-9128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2007
Last Update Date : 05/03/2022

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Directions to “ DR. GARY ALLEN PALMER M.D.” Practice Location

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