Individual
DR. VANESSA GREEN GASTWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3150 N TENAYA WAY SUITE 460, LAS VEGAS, NV 89128
(702) 233-1000
(702) 233-1001
Mailing address
3150 N TENAYA WAY SUITE 460, LAS VEGAS, NV 89128
(702) 233-1000
(702) 233-1001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13801
NV
207RC0000X
Cardiovascular Disease Physician
35471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102142
—
AZ
01
—
2009239 9965156
TRICARE
AZ
01
—
P00413309
RAILROAD MEDICARE
AZ
Enumeration date
05/04/2006
Last updated
03/31/2021
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