NPI 1942715636 · live from the CMS NPI Registry
Logan Tim Belnap, PA
Physician Assistant in Las Vegas, NV. National Provider Identifier 1942715636, active.
NPI record
| NPI | 1942715636 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4835 S Durango Dr, Las Vegas, NV 89147 |
| Practice phone | 702-877-5199 |
| Mailing address | Po Box 35380, Las Vegas, NV 89133 |
| Enumerated | December 5, 2017 |
| Last updated | January 24, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant primary | 363A00000X | PA0382 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.