Organization
EAR, NOSE & THROAT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROLD E BOYERS M.D. (PRESIDENT/PARTNER)
(702) 382-3221
Entity
Organization
Contact information
Practice address
700 SHADOW LN, SUITE 235, LAS VEGAS, NV 89106-4126
(702) 382-3221
(702) 382-1822
Mailing address
700 SHADOW LANE, SUITE 235, LAS VEGAS, NV 89106
(702) 382-3221
(702) 382-1822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038511480
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508181
—
NV
01
—
CQ3081
RR MEDICARE
NV
Enumeration date
10/25/2006
Last updated
02/22/2008
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