Individual
RICHARD GERARD BRODMERKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER ADVOCATE
Contact information
Practice address
1600 E DESERT INN RD STE 104, LAS VEGAS, NV 89169-2505
(702) 208-2194
Mailing address
1600 E DESERT INN RD STE 104, LAS VEGAS, NV 89169-2505
(702) 208-2194
(702) 208-2208
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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