Individual
GLEN GUILLERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(023) 831-9587
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10238
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018842
—
NV
Enumeration date
02/08/2007
Last updated
10/29/2024
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