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Contact Information

ELMER S. DAVID, MD, PLLC
5876 S. PECOS RD. BLDG. B
LAS VEGAS, NV89120
 Phone: 702-733-0744
 Fax: 702-796-8262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELMER S. DAVID, MD, PLLC

NPI # 1720324429
LBN Legal business name ELMER S. DAVID, MD, PLLC
Authorized official NIKOLE MALAXECHEVARRIA - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2012
Last updated 07/22/2015 - About 11 years ago
Identifiers
NJ License # 25MA05800100
NV License # 1091
NV License # 14165
NV License # APRN001848
NJ Medicaid 5234409
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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