Individual
DAVID P GORCZYCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 WAGON TRAIL AVE, LAS VEGAS, NV 89118-4426
(702) 942-4123
(702) 942-4124
Mailing address
1 INDEPENDENCE PT STE 202, GREENVILLE, SC 29615-4536
(877) 406-2916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7360
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290208
—
NV
01
—
300054813
RR MEDICARE
—
01
—
NV7302
BLUE
NV
Enumeration date
01/06/2006
Last updated
01/11/2013
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