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Individual

TIMOTHY KATSUHIRO SUGIMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2845 SIENA HEIGHTS DR, HENDERSON, NV 89052-4153
(702) 877-5199
(702) 492-9574
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 820-3635
(702) 804-3626

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3658
NV
208D00000X
General Practice Physician
DO3658
NV

Other

Enumeration date
03/07/2020
Last updated
11/19/2024
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