Individual
DR. BENNETT VITUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
Mailing address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 407-7700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO3038
NV
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
DO3038
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154987139
—
NV
Enumeration date
05/15/2019
Last updated
08/18/2025
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