Organization · Type 2 NPI

University of NV School of Medicine Multi Specialty Group Practice So

Plastic and Reconstructive Surgery Physician · Las Vegas, NV

NPI number 1144353566 Active

Practice location

1707 W Charleston Blvd, #190
Las Vegas, NV 89102-2351

Fax (702) 384-6592

Mailing address

PO Box 98528, Dept 401
Las Vegas, NV 89193-8528

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XNone listed
Surgery of the Hand (Plastic Surgery) Physician 2082S0105XNone listed
Surgery of the Hand (Surgery) Physician 2086S0105XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1144353566

University of NV School of Medicine Multi Specialty Group Practice So's National Provider Identifier is 1144353566, issued on Mar 14, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 6, 2007.