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NPI Code Detail

MEDICARE: NATHAN J CLEVELAND MD

MEDICARE: NATHAN J CLEVELAND MD
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 Physician13370NV

General Provider Information

NPI Number : 1982816989
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN J CLEVELAND MD
Provider Business Mailing Address
First Line : 901 RANCHO LANE, SUITE 135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 RANCHO LN STE 135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3826
Country : US
Telephone Number : 702-383-1958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/12/2012

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Directions to “ NATHAN J CLEVELAND MD” Practice Location

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