Wellformed AI

NPI 1740722461 · live from the CMS NPI Registry

Gregory Allan Barnes, PA-C

Physician Assistant, Medical in Las Vegas, NV. National Provider Identifier 1740722461, active.

NPI record

NPI1740722461 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location500 N Rainbow Blvd, Ste. 203, Las Vegas, NV 89107
Practice phone702-259-1228
EnumeratedNovember 11, 2016
Last updatedFebruary 22, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical primary363AM0700X— (NV)
Physician Assistant363A00000XPA1796 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.