Organization
DENICE STARLEY, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENICE STARLEY D.O. (OWNER)
(702) 622-7983
Entity
Organization
Contact information
Practice address
7670 W SAHARA AVE STE 2, LAS VEGAS, NV 89117-2751
(702) 212-3333
(702) 212-3300
Mailing address
PO BOX 778436, HENDERSON, NV 89077-8436
(702) 622-7983
(702) 614-8047
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
1334
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104760
MEDICARE
NV
05
—
PART B # 104760
—
NV
Enumeration date
03/25/2010
Last updated
03/25/2010
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