Individual
WARREN W MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3201 S MARYLAND PKWY STE 218, LAS VEGAS, NV 89109-2424
(702) 862-8075
(702) 862-8077
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1073
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376767673
—
NV
01
—
CS11320
PHARMACY/CONTROLLED SUBSTANCE CERTIFICATE
NV
Enumeration date
04/11/2007
Last updated
05/06/2024
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