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NPI Code Detail

MEDICARE: ADVANCED CARE EMERGENCY SERVICES, PLLC

MEDICARE: ADVANCED CARE EMERGENCY SERVICES, 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
1207P00000XEmergency Medicine PhysicianAZ

General Provider Information

NPI Number : 1811210941
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CARE EMERGENCY SERVICES, PLLC
Provider Business Mailing Address
First Line : PO BOX 638970
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-8970
Country : US
Telephone Number : 925-924-1600
Fax Number : 925-924-0506
Provider Business Practice Location Address
First Line : 1409 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7120
Country : US
Telephone Number : 702-657-5512
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PROVIDER COMP. & ENROLL
Name : LILLIAN K. MCINTYRE
Credential :
Telephone Number : 925-924-1600
Provider Enumeration Date : 03/03/2010
Last Update Date : 02/24/2016

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Directions to “ADVANCED CARE EMERGENCY SERVICES, PLLC ” Practice Location

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