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DAVITA MEDICAL GROUP NEVADA (COATS), LTD.

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

Provider NPI: 1235116716

Organization Information:
Organization Name:  DAVITA MEDICAL GROUP NEVADA (COATS), LTD.
Organization is not Subpart
Authorized Official:  BARD  COATS  PRESIDENT  702-216-3346

Practice Location:
595 W LAKE MEAD PKWY  HENDERSON, NV 89015-7071 US
Tel: 702-566-5500  Fax: 702-558-7237

Business Mailing Address:
PO BOX 98978  LAS VEGAS, NV 89193-8978 US
Tel: 702-216-3346  Fax: 702-671-6883

NPI Information:
NPI: 1235116716
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
NV
N207N00000XPhysicians
Dermatology
NV
N207RC0000XPhysicians
Internal Medicine
NV
N207RE0101XPhysicians
Internal Medicine
NV
N208000000XPhysicians
Pediatrics
NV
N2083X0100XPhysicians
Preventive Medicine
NV
N208M00000XPhysicians
Hospitalist
NV
N207R00000XPhysicians
Internal Medicine
NV
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NV
N247100000XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
NV
N213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
NV
Y207Q00000XPhysicians
Family Medicine
NV

Other Provider Identifiers:

IssuerNumberStateType
1235116716NV05



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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