Individual
DR. BRIAN A WYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3153 E WARM SPRINGS, #300, LAS VEGAS, NV 89120
(702) 487-6510
(702) 405-7960
Mailing address
3153 E WARM SPRINGS, #300, LAS VEGAS, NV 89120
(702) 487-6510
(702) 405-7960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13812
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467646950
—
NV
01
—
FG039Z
MEDICARE
NV
Enumeration date
08/28/2007
Last updated
08/14/2015
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