Individual
LUIS PANUNCIALMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S.
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 791-9110
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10313
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018779
—
NV
Enumeration date
08/10/2006
Last updated
07/28/2014
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