Individual
DR. ALFREDA I. MALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
2020 E DESERT INN RD, LAS VEGAS, NV 89109-3211
(702) 796-5505
(702) 732-9830
Mailing address
2020 E DESERT INN RD, LAS VEGAS, NV 89109-3211
(702) 796-5505
(702) 732-9830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10255
NV
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
10255
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018705
—
NV
Enumeration date
07/05/2006
Last updated
12/03/2019
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