Organization
DONALD C. HARTLIEB M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRICIA MICHELLE MALDONADO (OFFICE MANAGER)
(702) 733-8871
Entity
Organization
Contact information
Practice address
10521 JEFFREYS ST, SUIT 220, HENDERSON, NV 89052-4180
(702) 733-8871
(702) 733-2177
Mailing address
10521 JEFFREYS ST, SUIT 220, HENDERSON, NV 89052-4180
(702) 733-8871
(702) 733-2177
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5104
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002564
—
NV
Enumeration date
07/30/2007
Last updated
05/10/2013
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