Shadow Emergency Physicians Pllc

NPI #1043030919 in Las Vegas, Nevada

Provider Information

NPI Number: 1043030919
Entity Type: Organization
Organization Name: Shadow Emergency Physicians Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 15, 2024
Last Updated: Sep 10, 2025

Practice Location

Address: 10290 W FLAMINGO RD
City: Las Vegas
State: Nevada
ZIP Code: 89135-2652
Phone: (954) 939-5000

Authorized Official

Name: EDWIN HOMANSKY
Title: AUTHORIZED OFFICIAL
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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