Individual
DR. ELAN DAHL BOMSZTYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 PALOMINO LANE, STE # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LANE, STE # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15430
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477714525
—
CA
05
—
1477714525
—
NV
01
—
P01374895
RR MEDICARE DRS
NV
01
—
P01374967
RR MEDICARE DR
NV
Enumeration date
06/21/2008
Last updated
02/03/2015
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