Individual
ALAN DETIBERIIS
Active
Individual
ALAN DETIBERIIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.PATH, DNP
Taxonomy
Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
Primary
405787
NV
207ZP0101X
Anatomic Pathology Physician
D-16-1125-1121-A
ZZ
374K00000X
Religious Nonmedical Practitioner
NA
NV
Other
Enumeration date
07/28/2017
Last updated
01/20/2022
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