Individual
JOHN A MOORHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18726
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111738401
—
TX
01
—
2519609
AETNA
TX
01
—
2876028
CIGNA
TX
01
—
84704G
BCBS
TX
Enumeration date
05/09/2006
Last updated
11/18/2024
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