Individual
AMBER MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 888-8436
(702) 888-8431
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 888-8436
(702) 888-8431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
SL1205
NV
207RP1001X
Pulmonary Disease Physician
Primary
DO2717
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO2717
—
NV
Enumeration date
05/16/2017
Last updated
07/21/2022
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