Organization
PACE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BOWMAN (EXCECUTIVE DIRECTOR)
(951) 514-5886
Entity
Organization
Contact information
Practice address
9360 NETHERFIELD AVE, LAS VEGAS, NV 89178-5535
(951) 514-5886
(702) 638-7706
Mailing address
9360 NETHERFIELD AVE, LAS VEGAS, NV 89178-5535
(951) 514-5886
(702) 638-7706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NV
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NV
208D00000X
General Practice Physician
Primary
—
NV
208M00000X
Hospitalist Physician
—
NV
261Q00000X
Clinic/Center
—
NV
363L00000X
Nurse Practitioner
—
NV
Other
Enumeration date
03/27/2015
Last updated
04/27/2015
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