Individual
MR. MARK BRADLEY KABINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S RANCHO DR, SUITE I-67, LAS VEGAS, NV 89106-4828
(702) 243-4700
(702) 243-7074
Mailing address
501 S RANCHO DR, SUITE I-67, LAS VEGAS, NV 89106-4828
(702) 243-4700
(702) 243-7074
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
6466
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504174
—
NV
Enumeration date
10/13/2005
Last updated
06/24/2014
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