Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT GREGORY NYDAM, IDMT
ActiveMR. ROBERT GREGORY NYDAM, IDMT is a Physician Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1184867301 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAS VEGAS, NV
Registration Details
- NPI Number
- 1184867301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2009 (17.285657194406 yrs)
- Last Updated
- Jan 23, 2017
Practice Information
- Address
-
888 S RANCHO DRLAS VEGAS, NV, 891063810Browse NV providers · Browse ZIP 89106
- Phone
- 7028778600
- Fax
- 7022586152
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| CAROLYN A. DECHAINE | PA - C | 1649276254 |
| EBERHARD JOHANNES MAENDEL | PA-C | 1639171283 |
| MR. RICHARD J NUDD | PA-C | 1346242724 |
| RAYMOND MATHIESON | PA-C | 1023010576 |
| VERONICA C CALLIER | PA | 1053303610 |
| MR. ISAAC C GIER | PAC | 1225022130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.