Individual
TERENCE M SCIPIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 PALOMINO LANE, SUITE 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LANE, SUITE 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12812
NV
2085R0202X
Diagnostic Radiology Physician
243937-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225249303
—
CA
05
—
200469430 A
—
OK
01
—
P01168780
RR MEDICARE
NV
Enumeration date
05/24/2007
Last updated
08/26/2014
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