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NPI Code Detail

MEDICARE: STEVEN HAWKES PA

MEDICARE: STEVEN HAWKES PA
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 Assistant800NV

General Provider Information

NPI Number : 1790707073
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN HAWKES PA
Provider Business Mailing Address
First Line : PO BOX 894830
Second Line : LOCK BOX 4830
City : LOS ANGELES
State : CA
Zip : 90189-4830
Country : US
Telephone Number : 702-360-2100
Fax Number : 909-557-1924
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 : 07/24/2006
Last Update Date : 05/07/2019

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Directions to “ STEVEN HAWKES PA” Practice Location

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