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Individual

SKYLER WAYNE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2950 S MARYLAND PKWY, LAS VEGAS, NV 89109-2204
(702) 732-6000
Mailing address
PO BOX 36900, LAS VEGAS, NV 89133-6900
(702) 732-6000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14231
NV
2085R0202X
Diagnostic Radiology Physician
A103292
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A1032920
CA
05
1033308531
NV
Enumeration date
10/19/2007
Last updated
06/25/2012
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