Individual
DR. MICHAEL L. PERNULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5871 W. CRAIG RD., LAS VEGAS, NV 89130-2575
(702) 724-2020
(702) 724-2800
Mailing address
5840 W. CRAIG RD., STE. 120 PMB# 254, LAS VEGAS, NV 89130-2562
(702) 724-2020
(702) 724-2800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15879
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598064909
—
NV
Enumeration date
03/24/2011
Last updated
08/12/2015
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