Individual
DANIEL DELLWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(541) 250-1525
Mailing address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(541) 250-1525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1192
ID
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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