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Contact Information

GERARD J CONNELLY, PAC
6900 N PECOS RD
NORTH LAS VEGAS, NV89086-4400
 Phone: 702-791-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GERARD J CONNELLY · (Male)

NPI Number 1992774152
Status Active
Credentials PAC
Entity Individual
Enumeration date 03/17/2006
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PA873
  • AZ Medicaid 991530
  • NV Medicaid 100504648
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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