Individual
DOUGLAS R BUDDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 S RAINBOW BLVD, LAS VEGAS, NV 89145-6230
(725) 220-8667
(833) 749-0353
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(725) 220-8667
(833) 749-0353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10543
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457321580
—
NV
01
—
CI7026
GROUP RAILROAD MEDICARE
NV
01
—
GD340Z
MEDICARE PTAN
NV
01
—
P00054854
RAILROAD MEDICARE
NV
Enumeration date
01/23/2006
Last updated
02/12/2026
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