Individual
DR. WALDO C. FENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 LA CANADA ST STE 205, LAS VEGAS, NV 89169-2578
(702) 916-1996
(702) 916-1997
Mailing address
20 WADE HAMPTON TRL, HENDERSON, NV 89052-6635
(702) 916-1996
(702) 916-1997
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10623
NV
2088P0231X
Pediatric Urology Physician
Primary
NV10623
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500681
—
NV
Enumeration date
10/27/2005
Last updated
03/17/2018
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