Individual
MUTSUMI JOHN KIOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2353
(702) 671-5060
(702) 671-5198
Mailing address
1701 W CHARLESTON BLVD, SUITE 230, LAS VEGAS, NV 89102-2325
(213) 359-8018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A113478
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
16443
NV
207RP1001X
Pulmonary Disease Physician
Primary
16443
NV
Other
Enumeration date
10/07/2010
Last updated
07/20/2016
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