Individual
ALBERT OR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-8600
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-8600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1267
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V51984
SMA MEDICARE
NV
Enumeration date
04/28/2011
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us