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Individual

DR. EDWARD JOSEPH MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
11035 LAVENDER HILL DR STE 180, LAS VEGAS, NV 89135-2957
(702) 254-0332
(702) 685-4112
Mailing address
11035 LAVENDER HILL DR STE 180, LAS VEGAS, NV 89135-2957
(702) 254-0332
(702) 685-4112

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
236
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
880329534
TAX ID
NV
Enumeration date
01/23/2007
Last updated
10/03/2022
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