Individual
JOHN PATRICK BROSIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
341 N BUFFALO DR STE B, LAS VEGAS, NV 89145-0376
(702) 727-8500
(702) 444-2461
Mailing address
341 N BUFFALO DR STE B, LAS VEGAS, NV 89145-0376
(702) 727-8500
(702) 444-2461
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
16256
NV
208200000X
Plastic Surgery Physician
MD447430
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16256
LICENSE
NV
01
—
MD447430
LICENSE NUMBER
PA
Enumeration date
07/05/2007
Last updated
10/26/2023
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