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Contact Information

BRIAN E GRACE, PA
5188 BLISSFUL VALLEY CIR
LAS VEGAS, NV89149-5262
 Phone: 702-373-9929
 Fax: 800-886-2862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN E GRACE · (Male)

NPI Number 1487746459
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/28/2006
Last updated 12/11/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PA727
  • NV Medicaid 002402144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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