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NPI Code Detail

MEDICARE: MRS. LESLIE M. REMEDI PA-C

MEDICARE: MRS. LESLIE M. REMEDI 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 AssistantPA871NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2V109701OTHERNVSMA MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750329959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE M. REMEDI PA-C
Provider Business Mailing Address
First Line : PO BOX 15645
Second Line :
City : LAS VEGAS
State : NV
Zip : 89114-5645
Country : US
Telephone Number : 702-579-3270
Fax Number : 702-459-0331
Provider Business Practice Location Address
First Line : 540 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5368
Country : US
Telephone Number : 702-459-7424
Fax Number : 702-459-0331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/19/2015

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