Individual
GALEN BRETT HEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 731-8066
(702) 836-3955
Mailing address
1 INDEPENDENCE PT STE 2020, GREENVILLE, SC 29615-4545
(877) 406-2916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10454
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290222
—
NV
01
—
CC5600
BLUE
NV
01
—
P00776738
RR MEDICARE
—
Enumeration date
01/06/2006
Last updated
01/11/2013
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