Organization
POKROY MEDICAL GROUP OF NEVADA, LTD.
Active
Other names
Pediatrix Medical Group of Nevada, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA DEETER MD (OWNER)
(775) 982-6169
Entity
Organization
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5000
Mailing address
FILE 50978, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992809412
—
NV
Enumeration date
01/04/2022
Last updated
01/04/2022
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