# DES-REHAB INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235289653
- **Authorized official:** SAMUEL A WISE M.D. (PHYSICIAN)
- **Authorized official phone:** (702) 893-0800

## Contact information

- **Practice address:** 3201 S MARYLAND PKWY, SUITE 218, LAS VEGAS, NV 89109-2441
- **Practice address phone:** (702) 893-0800
- **Practice address fax:** (702) 893-0109
- **Mailing address:** 3201 S MARYLAND PKWY, SUITE 218, LAS VEGAS, NV 89109-2441
- **Mailing address phone:** (702) 893-0800
- **Mailing address fax:** (702) 893-0109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 6244 | NV | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5908 | NV | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 12/06/2010