Individual
CAMERON I EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
653 N TOWN CENTER DR, SUITE 108, LAS VEGAS, NV 89144-0514
(702) 939-3436
(702) 939-3437
Mailing address
653 N TOWN CENTER DR, SUITE 108, LAS VEGAS, NV 89144-0514
(702) 939-3436
(702) 939-3437
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
45965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764475200
—
MN
01
—
V10447
MEDICARE GROUP NUMBER
NV
Enumeration date
01/10/2006
Last updated
05/19/2009
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