Individual
PANDORA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4880 WYNN RD, LAS VEGAS, NV 89103-5406
(702) 871-5005
(702) 871-1341
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1613
AZ
363A00000X
Physician Assistant
Primary
PA1665
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093787210
—
NV
05
—
181032
—
AZ
Enumeration date
02/02/2006
Last updated
07/21/2022
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