Organization
ELLIS BANDT BIRKIN KOLLINS & WONG PLLC
Active
Other names
Desert Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (AUTHORIZED OFFICIAL)
(629) 317-1465
Entity
Organization
Contact information
Practice address
7200 CATHEDRAL ROCK DR STE 230, LAS VEGAS, NV 89128-0440
(702) 623-7568
Mailing address
PO BOX 202225, DALLAS, TX 75320-2225
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578584678
—
NV
05
—
200467490A
—
OK
01
—
DU4981
RR MEDICARE DR
CA
Enumeration date
07/22/2006
Last updated
03/26/2026
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