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Individual
THOMAS R SERBOUSEK
Active
Individual
THOMAS R SERBOUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
31415
IA
207Q00000X
Family Medicine Physician
Primary
18074
NV
207Q00000X
Family Medicine Physician
31415
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18074
STATE LICENSE
NV
05
—
1992770432
—
NV
Enumeration date
02/20/2006
Last updated
02/16/2024
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