Provider Demographics
NPI:1629078100
Name:LITCHFIELD, WILLIAM REID (M D)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:REID
Last Name:LITCHFIELD
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2649
Mailing Address - Country:US
Mailing Address - Phone:702-434-8400
Mailing Address - Fax:704-837-9072
Practice Address - Street 1:2415 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2649
Practice Address - Country:US
Practice Address - Phone:702-434-8400
Practice Address - Fax:704-837-9072
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2012-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8496207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVG38255Medicare UPIN