Organization
MICHAEL P COLLETTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PHILLIP COLLETTI MD (OWNER)
(702) 734-2242
Entity
Organization
Contact information
Practice address
4580 S EASTERN AVE, #29, LAS VEGAS, NV 89119-6100
(702) 734-2242
(702) 737-7690
Mailing address
4580 S EASTERN AVE, #29, LAS VEGAS, NV 89119-6100
(702) 734-2242
(702) 737-7690
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5563
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5469
MEDICARE RAILROAD
NV
Enumeration date
07/29/2005
Last updated
02/25/2009
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