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Individual

ADRIENNE MARIE PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
SL0950
NV
2084N0400X
Neurology Physician
Primary
DO2089
NV

Other

Enumeration date
06/10/2013
Last updated
07/25/2018
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