Individual
RICHARD J MAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2517 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-6410
(702) 642-7711
(702) 642-8822
Mailing address
2505 ANTHEM VILLAGE DR # E-594, HENDERSON, NV 89052-5505
(702) 642-7711
(702) 642-8822
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10184
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501861
—
NV
Enumeration date
10/25/2006
Last updated
09/29/2009
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