Organization
DES-REHAB INC
Active
Other names
Desert Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL A WISE M.D. (PHYSICIAN)
(702) 893-0800
Entity
Organization
Contact information
Practice address
3201 S MARYLAND PKWY, SUITE 218, LAS VEGAS, NV 89109-2441
(702) 893-0800
(702) 893-0109
Mailing address
3201 S MARYLAND PKWY, SUITE 218, LAS VEGAS, NV 89109-2441
(702) 893-0800
(702) 893-0109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6244
NV
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5908
NV
Other
Enumeration date
01/10/2007
Last updated
12/06/2010
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