Organization
JAMES R DETTLING MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE SVIDERSKI (OFFICE MANAGER)
(702) 877-6781
Entity
Organization
Contact information
Practice address
801 S RANCHO DR STE F2, LAS VEGAS, NV 89106-3814
(702) 877-6781
Mailing address
801 S RANCHO DR STE F2, LAS VEGAS, NV 89106-3814
(702) 877-6781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NV8925
NV
Other
Enumeration date
07/20/2006
Last updated
05/21/2015
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