Individual
DENNIS JAMES FIVECOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4511 W CHEYENNE AVE, STE 700, NORTH LAS VEGAS, NV 89032-2450
(702) 643-4279
(702) 643-4282
Mailing address
2451 N RAINBOW BLVD, #1125, LAS VEGAS, NV 89108-4502
(702) 645-4469
(702) 643-4282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038237
NCCPA
—
Enumeration date
10/10/2006
Last updated
07/08/2007
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