Individual
DR. MIGUEL M OLLADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9030
Mailing address
1700 DOUBLE ARROW PL, LAS VEGAS, NV 89128-8226
(209) 658-0858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A22768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A227680
BLUE SHEILD
CA
05
—
00A227680
—
CA
Enumeration date
01/24/2006
Last updated
03/04/2016
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