Individual
ALFREDO A HIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 921-6829
(702) 921-6828
Mailing address
5841 E CHARLESTON BLVD, #230-479, LAS VEGAS, NV 89891-6659
(702) 734-8014
(702) 921-6828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
529
NV
208000000X
Pediatrics Physician
529
NV
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002402064
—
NV
Enumeration date
09/13/2006
Last updated
04/25/2026
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