MEDICARE: APPIAN MEDICAL

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	207Q00000X	Family Medicine Physician	4655	NV

General Provider Information

NPI Number	:	1750607396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPIAN MEDICAL

Provider Business Mailing Address
First Line	:	7660 W CHEYENNE AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6757
Country	:	US
Telephone Number	:	702-240-5456
Fax Number	:	702-240-1692

Provider Business Practice Location Address
First Line	:	7660 W CHEYENNE AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6757
Country	:	US
Telephone Number	:	702-240-5456
Fax Number	:	702-240-1692

Authorized Official
Title or Position	:	DOCTOR
Name	:	LARRY YEE
Credential	:	MD
Telephone Number	:	702-240-5456

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	04/07/2010

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Directions to “APPIAN MEDICAL ” Practice Location

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