Individual
RUSSELL TAD LAUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5815
Mailing address
2040 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2227
(702) 671-6437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO1676
NV
Other
Enumeration date
04/22/2009
Last updated
07/02/2012
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