Individual
TANNER PIMSAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2031 N. BUFFALO DR., LAS VEGAS, NV 89128
(702) 383-2650
(702) 256-2213
Mailing address
2031 N. BUFFALO DR., LAS VEGAS, NV 89128
(702) 383-2650
(702) 256-2213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22509
NV
Other
Enumeration date
03/19/2019
Last updated
08/09/2022
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