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Colon & Rectal Surgery Physician

NPI: 1396056404IndividualAccepts Medicare

Specialties, Licenses & Credentials

Colon & Rectal Surgery PhysicianPrimary

Colon & Rectal Surgery

Code: 208C00000X

4301108393(MI)16681(NV)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryCOLORECTAL SURGERY (PROCTOLOGY)

Additional

GENERAL SURGERY

Education

OTHER

Class of 2000

Contact & Hours

Address
1040 WIGWAM PKWY STE 100
HENDERSON, NV 89074

Quick Facts

NPI
1396056404
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
26

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