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NPI Code Detail

MEDICARE: DONALD E HOARD MD PLLC

MEDICARE: DONALD E HOARD MD 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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1811641756
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD E HOARD MD PLLC
Provider Business Mailing Address
First Line : 4670 S FORT APACHE RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7942
Country : US
Telephone Number : 702-534-5410
Fax Number : 877-319-1792
Provider Business Practice Location Address
First Line : 4670 S FORT APACHE RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7942
Country : US
Telephone Number : 702-534-5410
Fax Number : 877-319-1792
Authorized Official
Title or Position : OWNER
Name : DONALD E HOARD
Credential : MD
Telephone Number : 702-534-5410
Provider Enumeration Date : 02/09/2022
Last Update Date : 02/09/2022

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Directions to “DONALD E HOARD MD PLLC ” Practice Location

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