Individual
TROY EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
762 14TH ST, ELKO, NV 89801-3413
(702) 240-6482
(702) 240-8529
Mailing address
700 E SILVERADO RANCH BLVD STE 170, LAS VEGAS, NV 89183-7518
(702) 240-6482
(702) 804-0957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1026
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V105461
EDEN MEDICAL PTAN
NV
01
—
V105503
TROY'S PTAN
NV
Enumeration date
12/21/2006
Last updated
12/22/2021
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