Organization
SHADOW EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN HOMANSKY (AUTHORIZED OFFICIAL)
(469) 401-2386
Entity
Organization
Contact information
Practice address
6625 N 5TH ST, NORTH LAS VEGAS, NV 89084-1341
(702) 388-4000
Mailing address
PO BOX 848252, LOS ANGELES, CA 90084-8252
(954) 939-5000
(877) 250-6889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
04/15/2026
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