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Individual

BRIANNON MARIE YADRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA2012
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
PA2012
NV
363AS0400X
Surgical Physician Assistant
PA2012
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA2012
NV MEDICAL LICENSE
NV
Enumeration date
08/06/2018
Last updated
09/13/2023
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