Individual
DR. CLEMENT J STRUMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2685 S RAINBOW BLVD, SUITE 101, LAS VEGAS, NV 89146-5182
(702) 315-4600
(702) 315-4607
Mailing address
2685 S RAINBOW BLVD, SUITE 101, LAS VEGAS, NV 89146-5182
(702) 315-4600
(702) 315-4607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
489
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019399
—
NV
01
—
V37851
MEDICARE GROUP/ORGANIZATIONAL #
—
01
—
V37852
MEDICARE INDIVDUAL #
—
Enumeration date
09/28/2007
Last updated
05/30/2008
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