Individual
OLIVIA J WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10135 W TWAIN AVE STE 100, LAS VEGAS, NV 89147-6721
(702) 458-4263
Mailing address
10135 W TWAIN AVE STE 100, LAS VEGAS, NV 89147-6721
(702) 458-4263
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
17143
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17143
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
01
—
CS25988
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
03/30/2011
Last updated
01/23/2023
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