Heather Lee Ta, PA-C

NPI #1043460876 in Las Vegas, Nevada

Provider Information

NPI Number
1043460876
Entity Type
Individual
Name
Heather Lee Ta, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Sep 29, 2008
Last Updated
Feb 28, 2022

Practice Location

Address
2800 E DESERT INN RD STE 100
State
Nevada
ZIP Code
89121-3609
Phone
(702) 731-1616

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical

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