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Individual

DR. MARK W. DOUBRAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9011 W SAHARA AVE, SUITE 101, LAS VEGAS, NV 89117-4800
(702) 794-2020
(702) 732-4108
Mailing address
9011 W SAHARA AVE, SUITE 101, LAS VEGAS, NV 89117-4800
(702) 794-2020
(702) 732-4108

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7190
NV
207W00000X
Ophthalmology Physician
G071917
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019869
NV
Enumeration date
04/14/2006
Last updated
01/06/2022
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