Organization
NERI M. BLANCO, MD, INC
Active
Other names
doctors office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NERI MARIA BLANCO MD (MD)
(702) 240-6374
Entity
Organization
Contact information
Practice address
4441 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 240-6374
(702) 453-6374
Mailing address
4441 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 240-6374
(702) 453-6374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10819
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275714990
NPI GROUP
NV
01
—
1275714990
NPI GROUP
—
Enumeration date
11/21/2007
Last updated
07/12/2019
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