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Individual

ELBERT XU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
771 E HORIZON DR, HENDERSON, NV 89015-8405
(702) 948-1125
(702) 949-6203
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22724
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740749563
NV
01
22724
STATE LICENSE
NV
Enumeration date
03/19/2019
Last updated
09/06/2022
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