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
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