Individual
MR. ROBERT GREGORY NYDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-8600
(702) 258-6152
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-8600
(702) 258-6152
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
363A00000X
Physician Assistant
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184867301
—
NV
Enumeration date
04/17/2009
Last updated
01/23/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us