NPI 1114782596
Pacific West Urology LLC, a Professional Medical Company
Practice location
- Address
- 4425 S Pecos Rd STE 3, Las Vegas, NV 89121-5039
- Phone
- (725) 225-5575
- Fax
- (833) 941-2450
Authorised official
- Name
- Joel Abbott
- Title
- Owner/Physician
- Phone
- (702) 715-4155
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1114782596
- Entity type
- Organization
- NPI issued
- 15 Feb 2024
- Record last updated
- 15 Feb 2024
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.