Provider Demographics
NPI:1447397625
Name:DEWEY, ALMA MAY FERNANDEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ALMA MAY
Middle Name:FERNANDEZ
Last Name:DEWEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9484 S EASTERN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3987
Mailing Address - Country:US
Mailing Address - Phone:702-492-9990
Mailing Address - Fax:702-616-7032
Practice Address - Street 1:1903 PARMA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6801
Practice Address - Country:US
Practice Address - Phone:702-492-9990
Practice Address - Fax:702-616-7032
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8669207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018019Medicaid
NV002018019Medicaid
G69015Medicare UPIN