Organization
SIKISAM ALI MAGOYAG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIKISAM A MAGOYAG MD (MANAGING MEMBER)
(702) 240-5051
Entity
Organization
Contact information
Practice address
657 N TOWN CENTER DR, LAS VEGAS, NV 89144-6367
(702) 240-5051
(702) 921-6828
Mailing address
PO BOX 371576, LAS VEGAS, NV 89137-1576
(702) 240-5051
(702) 921-6828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9984
NV
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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