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Individual

DOUGLAS M STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1505 WIGWAM PKWY, SUITE 240, HENDERSON, NV 89074-8159
(702) 568-0195
(702) 568-0365
Mailing address
848 N RAINBOW BLVD, #357, LAS VEGAS, NV 89107-1103
(702) 256-9738
(702) 242-5629

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2064
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659424422
NV
Enumeration date
01/18/2007
Last updated
07/02/2008
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