Individual provider · Type 1 NPI
PA Der Cha
Public Medicine Podiatrist · Las Vegas, NV
NPI number
1609268697
Active
Practice location
3850 Las Vegas Blvd S
Las Vegas, NV 89109-4324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Medicine Podiatrist Primary | 213EP0504X | 123456 (NV) |
Public Medicine Podiatrist: Definition to come...
About NPI 1609268697
PA Der Cha's National Provider Identifier is 1609268697, issued on Feb 27, 2015. The primary taxonomy on file is Public Medicine Podiatrist (213EP0504X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 10, 2015.