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EDMOND E PACK MD PC NPI 1265572515


NPI Information

NPI: 1265572515
Provider Name: EDMOND E PACK MD PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3201 S MARYLAND PKWY
SUITE 300
LAS VEGAS, NV
ZIP 89109
Phone: (702) 734-1202
Get Directions

EDMOND E PACK MD PC is an obstetrics gynecology in Las Vegas, NV. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EDMOND E PACK MD PC NPI is 1265572515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3201 S MARYLAND PKWY
SUITE 300
LAS VEGAS, NV
ZIP 89109-441
Phone: (702) 734-1202
Fax: (702) 734-8320

The provider's authorized official is Edmond E Pack .
The authorized official title is President and has the following contact phone number (702) 734-1202.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology9904NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H52449MEDICARE UPINNEVADA
2V104083MEDICARE PINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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