Individual
MICHELLE D CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4750 W OAKEY BLVD, LAS VEGAS, NV 89102-1535
(702) 877-5199
(702) 984-5184
Mailing address
P.O. BOX 25645, SUITE 2, LAS VEGAS, NV 89119
(702) 877-5199
(702) 984-5194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
762
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019697
—
NV
01
—
V113510
MEDICARE SMA
NV
Enumeration date
02/09/2006
Last updated
11/16/2021
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