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TRICORE WEST LLC NPI 1639181456


NPI Information

NPI: 1639181456
Provider Name: TRICORE WEST, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
8685 QUEENS BROOK CT
LAS VEGAS, NV
ZIP 89129
Phone: (702) 838-8558
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TRICORE WEST, LLC is a podiatrist in Las Vegas, NV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. TRICORE WEST, LLC NPI is 1639181456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8685 QUEENS BROOK CT
LAS VEGAS, NV
ZIP 89129-229
Phone: (702) 838-8558
Fax: (702) 873-6880

The provider's authorized official is Todd Zang .
The authorized official title is Medical Director and has the following contact phone number (702) 838-8558.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.


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
1213E00000XPodiatrist9906NEVADAYes

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: 4/28/2024

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