Individual
AFI Y BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4275 BURNHAM AVE, SUITE 270, LAS VEGAS, NV 89119-5488
(702) 946-5399
(702) 946-5424
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8838
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467410639
—
NV
01
—
8838
STATE LICENSE
NV
01
—
P00367729
RAILROAD MEDICARE
NV
Enumeration date
05/03/2006
Last updated
10/17/2022
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