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Organization

STUART ENGEL MD PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STUART ENGEL MD (PRESIDENT)
(702) 379-4753
Entity
Organization

Contact information

Practice address
5380 S RAINBOW BLVD, SUITE300, LAS VEGAS, NV 89118-1877
(702) 379-4753
(702) 889-1969
Mailing address
5380 S RAINBOW BLVD, SUITE300, LAS VEGAS, NV 89118-1877
(702) 379-4753
(702) 889-1969

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1497
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477741163
NPI GROUP
NV
Enumeration date
10/09/2007
Last updated
11/17/2007
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