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Individual

DR. GREGORY THARIN BIGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7150
(702) 933-9393
(702) 933-6789
Mailing address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7150
(702) 933-9393
(702) 933-6789

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
6243
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2019162
NV
01
4258506
AETNA
01
CC6820
BXBS
01
CP788Z PTAN
MEDICARE PTAN
NV
01
P00149474
R.R. MEDICARE
Enumeration date
01/04/2006
Last updated
07/12/2011
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