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Individual

THOMAS RAYMOND LAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6970 W. PATRICK LANE, SUITE #140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 947-6740
Mailing address
6970 W. PATRICK LANE, SUITE #140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 947-6740

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11546
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507151
NV
05
100507214
NV
Enumeration date
02/08/2006
Last updated
08/02/2010
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