Individual
ERIC MOLDESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 PALOMINO LANE, STE 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LN STE 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14294
NV
2085R0202X
Diagnostic Radiology Physician
3281405
ID
2085R0202X
Diagnostic Radiology Physician
350049
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104018951
—
CA
05
—
1104018951
—
NV
05
—
200471140A
—
OK
01
—
P01077444
RAILROAD MEDICARE
NV
Enumeration date
08/15/2007
Last updated
04/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us