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Individual
DOUGLAS VACEK
Active
Individual
DOUGLAS VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1125
NV
208M00000X
Hospitalist Physician
Primary
1125
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501342
—
NV
01
—
P00084972
RAILROAD MEDICARE
NV
Enumeration date
02/13/2006
Last updated
08/06/2024
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