Individual
MICHAEL JAMES BOUNASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10120 S EASTERN AVE #229, HENDERSON, NV 89052
(702) 487-6880
Mailing address
10120 S EASTERN AVE #229, HENDERSON, NV 89052
(702) 487-6880
(702) 405-7960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11349
NV
207L00000X
Anesthesiology Physician
Primary
ME70522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505847
—
NV
Enumeration date
07/20/2005
Last updated
08/26/2024
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