Organization
GEORGE R MCMICKLE M D P C
Active
Organization
GEORGE R MCMICKLE M D P C
Active
Other names
SOUTHWESTERN EYE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R MCMICKLE M D (PRESIDENT)
(702) 215-6950
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, SUITE 318, LAS VEGAS, NV 89144-0514
(702) 215-6950
(702) 215-3377
Mailing address
653 N TOWN CENTER DR, SUITE 318, LAS VEGAS, NV 89144-0514
(702) 215-6950
(702) 215-3377
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
NV9367
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018497
—
NV
Enumeration date
10/18/2013
Last updated
10/18/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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