Individual
WENDELL G BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N GREEN VALLEY PKWY STE 239, HENDERSON, NV 89074-7704
(702) 844-4841
Mailing address
2370 CORPORATE CIR, STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
(702) 778-2264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7219
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407814718
—
NV
01
—
P00376332
RAILROAD MEDICARE
NV
Enumeration date
05/03/2006
Last updated
03/28/2023
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