M ROBERSON MD PC NPI 1225636632

NPI Information

NPI: 1225636632
Provider Name: M ROBERSON MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8910 W TROPICANA AVE STE 6
LAS VEGAS, NV
ZIP 89147
Phone: (702) 707-9969
Get Directions

M ROBERSON MD PC is a primary care clinic center in Las Vegas, NV. M ROBERSON MD PC NPI is 1225636632. The provider is registered as an organization entity type.

The provider's business location address is:

8910 W TROPICANA AVE STE 6
LAS VEGAS, NV
ZIP 89147-131
Phone: (702) 707-9969

The provider's authorized official is Levi Rogers .
The authorized official title is Coo and has the following contact phone number (775) 727-8900.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	250002983	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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