Organization
NYE VASCULAR CONSULTING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NYE DO (OWNER / FOUNDER)
(480) 788-5621
Entity
Organization
Contact information
Practice address
9940 W FLAMINGO RD STE 101, LAS VEGAS, NV 89147-8553
(480) 788-5621
Mailing address
9940 W FLAMINGO RD STE 101, LAS VEGAS, NV 89147-8553
(480) 788-5621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO3099
STATE LICENSE
NV
Enumeration date
05/12/2022
Last updated
05/12/2022
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