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DR GRADY JOSEPH WILLIAMS LLC NPI 1467644831


NPI Information

NPI: 1467644831
Provider Name: DR GRADY JOSEPH WILLIAMS LLC

Former Legal Business Name: DR GRADY JOSEPH WILLIAMS LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
840 S RANCHO DR
SUITE 1
LAS VEGAS, NV
ZIP 89106
Phone: (702) 870-5911
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DR GRADY JOSEPH WILLIAMS LLC is a clinic center in Las Vegas, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR GRADY JOSEPH WILLIAMS LLC NPI is 1467644831. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dr Grady Joseph Williams Llc.

The provider's business location address is:

840 S RANCHO DR
SUITE 1
LAS VEGAS, NV
ZIP 89106-837
Phone: (702) 870-5911
Fax: (702) 870-2368

The provider's authorized official is Grady Joseph Williams Llc .
The authorized official title is Owner and has the following contact phone number (702) 809-8899.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 10/21/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center296NEVADAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T19586MEDICARE UPINNEVADA

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: 5/5/2024

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