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Organization

MESQUITE MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LLOYD GATHERUM (C.F.O.)
(702) 346-0800
Entity
Organization

Contact information

Practice address
1301 BERTHA HOWE AVE, SUITE 1, MESQUITE, NV 89027-7502
(702) 346-0800
(702) 346-0801
Mailing address
1301 BERTHA HOWE AVE, SUITE 1, MESQUITE, NV 89027-7502
(702) 346-0800
(702) 346-0801

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B355
NV
207Q00000X
Family Medicine Physician
8194
NV
207Q00000X
Family Medicine Physician
97
NV
207Q00000X
Family Medicine Physician
APN00314
NV
207R00000X
Internal Medicine Physician
0841
NV
207R00000X
Internal Medicine Physician
10328
NV
208000000X
Pediatrics Physician
10669
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811580
AZ
05
811598
AZ
05
811621
AZ
01
PIN#32238
LONNIE EMPEY, DO
NV
01
PIN#36266
JEFFREY WRIGHT, PAC
NV
01
PIN#37972
ENRIQUE ALFARO, MD
NV
01
PIN#38138
LEO BLACK, DC
NV
Enumeration date
11/15/2005
Last updated
09/11/2025
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