Organization
EARL PLASTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON I EARL M.D. (PRESIDENT)
(702) 939-3436
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, SUITE 108, LAS VEGAS, NV 89144-0514
(702) 939-3436
(702) 939-3437
Mailing address
653 N TOWN CENTER DR, SUITE 108, LAS VEGAS, NV 89144-0514
(702) 939-3436
(702) 939-3437
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
11812
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11391671
CAQH NUMBER
—
01
—
1740269703
INDIVIDUAL NPI
NV
Enumeration date
02/13/2007
Last updated
05/26/2009
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