Organization
ANDREA E PERNELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA PERNELL MD (PRESIDENT)
(702) 279-0765
Entity
Organization
Contact information
Practice address
2810 W CHARLESTON BLVD, SUITE 48, LAS VEGAS, NV 89102-1921
(702) 870-2213
(702) 362-2463
Mailing address
PO BOX 400205, LAS VEGAS, NV 89140-0205
(702) 870-2213
(702) 870-2214
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NV
Other
Enumeration date
08/04/2011
Last updated
12/31/2013
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