Individual
BERNARD K. ADDO-QUAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 E CHARLESTON BLVD FL 3, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Mailing address
1721 E CHARLESTON BLVD FL 3, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9413
NV
207Q00000X
Family Medicine Physician
M5999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018398
—
NV
05
—
003102438
—
NV
Enumeration date
08/09/2005
Last updated
01/21/2025
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