Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

National Retail LLC

Organization Family Medicine Physician · NPI 1104544220

National Retail LLC provides Family Medicine Physician services in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4260 Cameron St Ste A
Las Vegas, NV 89103-3718
Phone: (702) 853-5055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104544220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adin Boldur — Medical Director · (702) 853-5055
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address4260 Cameron St Ste A, Las Vegas, NV 89103-3718

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