Individual
GRACE S SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6028 S FORT APACHE RD STE 101, LAS VEGAS, NV 89148-5612
(702) 896-2020
(702) 896-2025
Mailing address
6028 S FORT APACHE RD STE 101, LAS VEGAS, NV 89148-5612
(702) 896-2020
(702) 896-2025
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
7373
NV
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
7373
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019646
—
NV
Enumeration date
10/12/2006
Last updated
07/21/2022
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