Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2017-02437 | NC |
NPI | 1013073089 |
---|---|
Provider Name | Dr. Andrew E Sheep |
First Address | Las Vegas, NV 89138-4557 |
Second Address | Las Vegas, NV 89138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 04/11/2019 |