Individual
DR. CHRISTINE MIYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
(402) 559-9659
Mailing address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15306
NV
207P00000X
Emergency Medicine Physician
242918
NY
207P00000X
Emergency Medicine Physician
26129
NE
207P00000X
Emergency Medicine Physician
37706
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72417
WELLMARK BCBS
IA
Enumeration date
08/28/2006
Last updated
05/06/2021
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