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Individual

ALEXANDER UDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Mailing address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2039
NV
207R00000X
Internal Medicine Physician
OS13062
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014372300
FL
Enumeration date
09/04/2013
Last updated
09/23/2016
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