Individual
IDA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 S RAINBOW BLVD, LAS VEGAS, NV 89145-6231
(702) 259-0088
(702) 259-9533
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13905
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770543043
—
NV
Enumeration date
03/23/2006
Last updated
12/18/2013
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