Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 8581 | NV |
N | 2081P2900X | Pain Medicine | 8581 | NV |
NPI | 1114015229 |
---|---|
Provider Name | Dr. Edmund Rex Pasimio |
First Address | Las Vegas, NV 89106-3837 |
Second Address | Las Vegas, NV 89106-4899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 13/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002018060 | (05) | NV |
G54146 | (02) | NV |