Individual
IAN JOHN FERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
(702) 677-3733
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 383-6210
(702) 435-7050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04896
TX
363A00000X
Physician Assistant
Primary
PA1249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184737330
—
NV
01
—
V114134
SMA MEDICARE
NV
Enumeration date
08/15/2006
Last updated
12/04/2024
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