Individual
DR. DANA SHAWN VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
985 CANDY TUFT DR, HENDERSON, NV 89011-3002
(928) 897-2016
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
DO1275
AL
207P00000X
Emergency Medicine Physician
067626
GA
207P00000X
Emergency Medicine Physician
21883
MS
207P00000X
Emergency Medicine Physician
4124
AZ
207P00000X
Emergency Medicine Physician
5514
OK
207P00000X
Emergency Medicine Physician
Primary
DO1678
NV
207P00000X
Emergency Medicine Physician
OS11719
FL
207Q00000X
Family Medicine Physician
4124
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971649
—
AZ
Enumeration date
06/28/2006
Last updated
07/24/2025
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