Organization
EAR, NOSE & THROAT CONSULTANTS OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER SCHROEDER MD (MANAGING PARTNER)
(702) 792-6700
Entity
Organization
Contact information
Practice address
3195 SAINT ROSE PKWY, SUITE 210, HENDERSON, NV 89052-3501
(702) 792-6700
(702) 792-7198
Mailing address
3195 SAINT ROSE PKWY, SUITE 210, HENDERSON, NV 89052-3501
(702) 792-6700
(702) 792-7198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6110
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV4824
BCBS GROUP NUMBER
NV
01
—
VWJBDY
MEDICARE INDIVIDUAL CODE
NV
Enumeration date
05/16/2007
Last updated
08/28/2012
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