Individual
DR. MICHAEL PHILLIP COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4580 S EASTERN AVE, #29, LAS VEGAS, NV 89119-6100
(702) 734-2242
(702) 737-7690
Mailing address
4580 S EASTERN AVE, #29, LAS VEGAS, NV 89119-6100
(702) 734-2242
(702) 737-7690
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5563
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660002079
MEDICARE RAILROAD
NV
Enumeration date
09/27/2007
Last updated
07/17/2013
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