Provider Demographics
NPI:1689875932
Name:MILNE AND MCKENZIE ASSOCIATES, LTD
Entity Type:Organization
Organization Name:MILNE AND MCKENZIE ASSOCIATES, LTD
Other - Org Name:INTERNAL MEDICINE SPECIALISTS OF LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-588-7373
Mailing Address - Street 1:2010 GOLDRING AVE
Mailing Address - Street 2:100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4002
Mailing Address - Country:US
Mailing Address - Phone:702-588-7373
Mailing Address - Fax:702-588-7748
Practice Address - Street 1:2010 GOLDRING AVE
Practice Address - Street 2:100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4002
Practice Address - Country:US
Practice Address - Phone:702-588-7373
Practice Address - Fax:702-588-7748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100513011Medicaid
NVV104319Medicare PIN