Individual
ANDRE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1389 GALLERIA DR STE 100, HENDERSON, NV 89014-6686
(725) 333-8400
(725) 333-8401
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(725) 333-8400
(725) 333-8401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21645
NV
Other
Enumeration date
04/26/2018
Last updated
01/06/2022
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