Malcolm Douglas, PA

Physician Assistant · Nellis Afb, NV

Individual Active NPI

NPI number 1730852021

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone
(702) 653-2273
Fax
(999) 999-9999

Open in Google Maps

NPI record

NPI
1730852021
Entity type
Individual (Type 1)
Enumeration date
August 1, 2021
Last updated
July 17, 2026
Certified
July 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA2613 NV

About Malcolm Douglas

Malcolm Douglas, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600. The NPI number 1730852021 was assigned on August 1, 2021 and the record was last updated on July 17, 2026.

Malcolm Douglas lists a license in the registry: #PA2613 (NV) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Malcolm Douglas, PA?

The NPI number is 1730852021.

What is the phone number of Malcolm Douglas?

The phone number listed for the practice location is (702) 653-2273.

Where is Malcolm Douglas located?

4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600.

What is the taxonomy code for Malcolm Douglas?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Nellis Afb

All Physician Assistant providers in Nellis Afb, NV →