Individual provider · Type 1 NPI

Daniel Dellwo, PA-C

Medical Physician Assistant · Las Vegas, NV

NPI number 1104224997 Active

Practice location

901 Rancho Ln Ste 135
Las Vegas, NV 89106-3826

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1192 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1104224997

Daniel Dellwo, PA-C's National Provider Identifier is 1104224997, issued on Dec 11, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 11, 2014.