Individual
GENGHIS PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10897
NV
207L00000X
Anesthesiology Physician
Primary
10897
NV
Other
Enumeration date
09/21/2006
Last updated
09/28/2022
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