1841519592 NPI number — OFFICE OF PAMELA S GRIFFITHS MD PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841519592 NPI number — OFFICE OF PAMELA S GRIFFITHS MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OFFICE OF PAMELA S GRIFFITHS MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841519592
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3230 S BUFFALO DR
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89117-2505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-254-1797
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3230 S BUFFALO DR
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89117-2505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-254-1797
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GRIFFITHS
Authorized Official First Name:
PAMELS
Authorized Official Middle Name:
SUE
Authorized Official Title or Position:
MANAGING DIRECTOR
Authorized Official Telephone Number:
702-254-1797

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  2000814650 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com