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DR. ALLAN DAVID MACINTYRE D.O.

Physicians Surgery

Provider NPI: 1609854405

Provider Information:
DR. ALLAN DAVID MACINTYRE D.O.
Gender: M
Not Sole Proprietor

Practice Location:
3131 LA CANADA ST STE 217  LAS VEGAS, NV 89169-2579 US
Tel: 702-369-7152  Fax: 702-369-7153

Business Mailing Address:
3196 S. MARYLAND PKWY SUITE #101A LAS VEGAS, NV 89109-2305 US
Tel: 702-369-7152  Fax: 702-369-7153

NPI Information:
NPI: 1609854405
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XPhysicians
Surgery
NV1060
N2086S0102XPhysicians
Surgery
NV1060

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208600000X

Type:

Classification:



Definition:



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