Individual
FREDERICK A SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1397 S LOOP RD, PAHRUMP, NV 89048-4729
(775) 751-7100
(775) 751-7824
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D01386
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225086382
—
NV
01
—
DO1386
STATE LICENSE
NV
Enumeration date
05/04/2006
Last updated
08/21/2023
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