Individual
DR. JASON MICHAEL BELLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2625 BOX CANYON DR, LAS VEGAS, NV 89128-0450
(702) 360-6100
(702) 360-8096
Mailing address
2625 BOX CANYON DR, LAS VEGAS, NV 89128-0450
(702) 360-6100
(702) 360-8096
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
21151
NV
207K00000X
Allergy & Immunology Physician
48534
WI
207R00000X
Internal Medicine Physician
48534
WI
Other
Enumeration date
09/13/2006
Last updated
04/17/2023
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