Individual
BRANDON J STILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
786 W PIONEER BLVD STE A, MESQUITE, NV 89027-8862
(702) 345-5000
(702) 345-2000
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
207Q00000X
Family Medicine Physician
Primary
1508201880
NV
207Q00000X
Family Medicine Physician
DR.0057179
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508201880
—
NV
01
—
20972
STATE LICENSE
NV
05
—
57175047
—
CO
Enumeration date
05/01/2013
Last updated
10/20/2022
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