Individual
TRICIA L SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-8600
(702) 256-3095
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-5316
(702) 256-3095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01059255A
IN
208000000X
Pediatrics Physician
Primary
12630
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134109549
—
NV
Enumeration date
01/20/2006
Last updated
01/29/2009
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