Individual
ANSLEM A OPARAUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 E BONANZA RD, SUITE 130, LAS VEGAS, NV 89101-3703
(702) 383-0663
(702) 383-0163
Mailing address
3050 E BONANZA RD, SUITE 130, LAS VEGAS, NV 89101-3703
(702) 383-0663
(702) 383-0163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10268
NV
2080P0208X
Pediatric Infectious Diseases Physician
10268
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018811
—
NV
05
—
1386962322
—
NV
Enumeration date
08/08/2006
Last updated
08/01/2012
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