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Individual

ROBERT P KORCAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6401 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89146-1118
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
620
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019395
NV
01
P00367727
RAILROAD MEDICARE
NV
Enumeration date
05/03/2006
Last updated
09/16/2019
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