Individual
MR. MICHAEL JAMES MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6787 W TROPICANA AVE STE 241, LAS VEGAS, NV 89103-4759
(833) 624-5400
Mailing address
6787 W TROPICANA AVE STE 241, LAS VEGAS, NV 89103-4759
(833) 624-5400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
NV
Enumeration date
08/26/2022
Last updated
08/26/2022
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