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Individual

DR. SHAWN ALLEN MCGIVNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2232 S NELLIS BLVD # G3-173, LAS VEGAS, NV 89104-6213
(775) 828-9435
Mailing address
2232 S NELLIS BLVD # G3-173, LAS VEGAS, NV 89104-6213
(775) 828-9435

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
10850
NV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
179171
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100503620
NV
Enumeration date
05/30/2007
Last updated
09/15/2010
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