NPI 1750556940 · live from the CMS NPI Registry
Great West Medical Associates Carrol Llp
Internal Medicine, Gastroenterology in Las Vegas, NV. National Provider Identifier 1750556940, active.
NPI record
| NPI | 1750556940 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3150 N Tenaya Way, Suite 525, Las Vegas, NV 89128 |
| Practice phone | 702-220-9865 |
| Mailing address | Po Box 34795, Las Vegas, NV 89133 |
| Enumerated | April 28, 2008 |
| Last updated | June 22, 2015 |
| Authorized official | Clifford Carrol, Partner |
| Other names | Great West Medical Associates |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.