Individual
MUUZ DESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9379 LUNAR PHASE ST, LAS VEGAS, NV 89143-1280
(702) 612-1674
Mailing address
9379 LUNAR PHASE ST, LAS VEGAS, NV 89143-1280
(702) 612-1674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0067304
CO
208M00000X
Hospitalist Physician
Primary
19250
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
03/13/2026
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