Individual
DR. HEATHER KAY BACALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6850 N DURANGO DR STE 401, LAS VEGAS, NV 89149-4598
(702) 463-2981
Mailing address
6850 N DURANGO DR STE 401, LAS VEGAS, NV 89149-4598
(702) 463-2981
(702) 463-2883
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16589
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114281706
—
NV
Enumeration date
06/27/2012
Last updated
07/16/2020
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