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Anesthesiology Physician
NPI: 1649856030IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Anesthesiology PhysicianPrimary
Anesthesiology
Code: 207L00000X
14207015-1204(UT)
CMS Specialties
PrimaryANESTHESIOLOGY
Education
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Class of 2021
Contact & Hours
- Address
- 3100 N TENAYA WAY
LAS VEGAS, NV 89128 - Phone
- (702) 962-9563
Quick Facts
- NPI
- 1649856030
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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