Individual
DR. BRIAN D VICUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
653 N TOWN CENTER DR STE 402, LAS VEGAS, NV 89144-0518
(702) 243-7200
(702) 243-7235
Mailing address
400 N STEPHANIE ST STE 300, HENDERSON, NV 89014-6692
(702) 952-3350
(702) 952-3365
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
12251
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12251
MD LICENSE
NV
Enumeration date
05/03/2007
Last updated
03/21/2024
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