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Individual

RICHARD MARK CIEZKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(702) 562-5831
Mailing address
3150 N TENAYA WAY, SUITE 480, LAS VEGAS, NV 89128-0443
(702) 562-5831

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
63467
AZ
390200000X
Student in an Organized Health Care Education/Training Program
LL2740
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL2740
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
Enumeration date
03/22/2016
Last updated
02/04/2025
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