Individual
FULGENCIO ANTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 E FLAMINGO ROAD, SUITE 214, HENDERSON, NV 89052
(702) 333-3485
(702) 724-8749
Mailing address
2121 E FLAMINGO RD STE 214, LAS VEGAS, NV 89119-5124
(702) 333-3485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5234
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501166
—
NV
Enumeration date
11/15/2006
Last updated
07/26/2019
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