Individual
DR. DONALD CARSON HARTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10521 JEFFREYS ST, SUITE 220, HENDERSON, NV 89052-4180
(702) 733-8871
(702) 733-2177
Mailing address
31 CHALET HILLS TER, HENDERSON, NV 89052-6697
(702) 275-6767
(702) 796-6310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5104
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002564
—
NV
Enumeration date
08/30/2006
Last updated
04/05/2017
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