Organization
PHYSICIANS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JEIDER MD (MEDICAL DIRECTOR)
(702) 246-2620
Entity
Organization
Contact information
Practice address
10785 W TWAIN AVE STE 219, LAS VEGAS, NV 89135-3028
(702) 246-2620
Mailing address
3375 S RAINBOW BLVD # 81857, LAS VEGAS, NV 89146-9995
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
03/17/2022
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