Individual
BLAINE KLOPOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1181 GRIER DR STE C, LAS VEGAS, NV 89119-3746
(888) 888-9930
Mailing address
1181 GRIER DR STE C, LAS VEGAS, NV 89119-3746
(888) 888-9930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2541
NV
Other
Enumeration date
11/17/2011
Last updated
02/09/2024
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