Individual
DR. MARK J. CIRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4454 N - DECATUR BLVD, LAS VEGAS, NV 89130
(702) 839-1203
(702) 839-1301
Mailing address
4454 N - DECATUR BLVD, LAS VEGAS, NV 89130
(702) 839-1203
(702) 839-1301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-109390
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109390
—
IL
01
—
098093
HEALTH ALLIANCE
—
01
—
P00237225
RAILROAD MEDICARE
—
Enumeration date
06/26/2006
Last updated
03/11/2014
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