Individual
DR. JOHN J FILDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD, SUITE 160, LAS VEGAS, NV 89102-2351
(702) 671-2201
(702) 385-9399
Mailing address
2040 W CHARLESTON BLVD, #301, LAS VEGAS, NV 89102-2227
(702) 671-2201
(702) 385-9399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7717
NV
2086S0102X
Surgical Critical Care Physician
7717
NV
2086S0127X
Trauma Surgery Physician
Primary
7717
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000R4167
MEDICAID - MEXICO
NV
05
—
002019832
—
NV
01
—
537373
USA/MCO HEALTH NETWORKS
NV
01
—
629917
AHCCCS
NV
01
—
880330858
ANTHEM BC/BS
NV
01
—
967532
FIRST HEALTH/CCN
NV
01
—
CD9455
MEDICARE - RR
NV
01
—
XPY189314
MEDI-CAL
NV
Enumeration date
01/03/2006
Last updated
01/03/2013
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