NPI 1003295189

Annette F Mayes MD a Professional Corporation

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address: 700 Shadow Ln Suite 165, Las Vegas, NV 89106-4126
Phone: (702) 522-9640
Mailing address: 700 Shadow Lane Suite 165, Las Vegas, NV 89106

Authorised official

Name: Annette F Mayes
Title: Physician, Owner
Phone: (702) 522-9640

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 7200 (NV)

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Registry record

NPI: 1003295189
Entity type: Organization
NPI issued: 22 May 2015
Record last updated: 22 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.