CIDS FAMILY PRACTICE NPI 1811416530

NPI Information

CIDS FAMILY PRACTICE is an adult medicine family medicine in Las Vegas, NV. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. CIDS FAMILY PRACTICE NPI is 1811416530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2435 FIRE MESA ST STE 110
LAS VEGAS, NV
ZIP 89128-009
Phone: (725) 200-3242
Fax: (725) 200-3244

The provider's authorized official is Page Mccalister .
The authorized official title is Billing & Credentialing Manager and has the following contact phone number (725) 200-3232.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 2/14/2019.

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:

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