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NPI Code Detail

MEDICARE: GREGORY E YAGER DO

MEDICARE: GREGORY E YAGER DO
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
1207Q00000XFamily Medicine PhysicianDO1694NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00066612OTHEROHRR MEDICARE G YAGER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000228736OTHEROHANTHEM
2T07454OTHEROHSUMMA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881787737
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY E YAGER DO
Provider Business Mailing Address
First Line : 4100 W FLAMINGO RD STE 2100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3926
Country : US
Telephone Number : 702-822-5000
Fax Number : 702-822-5001
Provider Business Practice Location Address
First Line : 4100 W FLAMINGO RD STE 2100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3926
Country : US
Telephone Number : 702-822-5000
Fax Number : 702-822-5001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 09/27/2012

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Directions to “ GREGORY E YAGER DO” Practice Location

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