Individual
GREGORY E YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4100 W FLAMINGO RD STE 2100, LAS VEGAS, NV 89103-3926
(702) 822-5000
(702) 822-5001
Mailing address
4100 W FLAMINGO RD STE 2100, LAS VEGAS, NV 89103-3926
(702) 822-5000
(702) 822-5001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1694
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228736
ANTHEM
OH
05
—
2389875
—
OH
01
—
P00066612
RR MEDICARE G YAGER
OH
01
—
T07454
SUMMA
OH
Enumeration date
10/02/2006
Last updated
09/27/2012
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