Individual
MR. RUSSELL LEE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 NORTH PECOS ROAD, LAS VEGAS, NV 89086
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
RC2031
NV
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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