Individual
BRIAN E SYSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 255-5025
(702) 255-5015
Mailing address
PO BOX 1569, LAS VEGAS, NV 89125-1569
(702) 671-6809
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35086839
OH
207P00000X
Emergency Medicine Physician
Primary
12392
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
12392
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SY4172371
—
OH
Enumeration date
01/05/2006
Last updated
03/11/2009
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