Individual
ELISEO DE VEYRA MERCADO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 S EASTERN AVE STE 101, HENDERSON, NV 89052-3908
(702) 616-5801
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(024) 064-7866
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
833724
NV
363LF0000X
Family Nurse Practitioner
Primary
833724
NV
Other
Enumeration date
01/20/2021
Last updated
04/14/2022
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