# REIICHI IIZUKA, M.D. CHTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619165289
- **Authorized official:** DR. REIICHI IIZUKA (MD)
- **Authorized official phone:** (702) 878-0070

## Contact information

- **Practice address:** 3010 W CHARLESTON BLVD, STE 150, LAS VEGAS, NV 89102-1966
- **Practice address phone:** (702) 878-0070
- **Practice address fax:** (702) 818-1930
- **Mailing address:** 3010 W CHARLESTON BLVD, STE 150, LAS VEGAS, NV 89102-1966
- **Mailing address phone:** (702) 878-0070
- **Mailing address fax:** (702) 818-1930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 2426 | NV | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007