MEDICARE: ALLAN MACINTYRE PLLC

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	208600000X	Surgery Physician	1060	NV

General Provider Information

NPI Number	:	1770850943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLAN MACINTYRE PLLC

Provider Business Mailing Address
First Line	:	8872 S EASTERN AVE
Second Line	:	SUITE 104
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4900
Country	:	US
Telephone Number	:	702-724-1400
Fax Number	:	702-724-1402

Provider Business Practice Location Address
First Line	:	8872 S EASTERN AVE
Second Line	:	SUITE 104
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4900
Country	:	US
Telephone Number	:	702-724-1400
Fax Number	:	702-724-1402

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	TERESA BRANSON
Credential	:
Telephone Number	:	702-492-9439

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	10/20/2014

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