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Individual

DOUGLAS VACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9665
(775) 331-7000
Mailing address
2345 E PRATER WAY STE 215, SPARKS, NV 89434-9634
(774) 352-5301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1125
NV
208M00000X
Hospitalist Physician
Primary
1125
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100501342
NV
01
P00084972
RAILROAD MEDICARE
NV
Enumeration date
02/13/2006
Last updated
08/06/2024
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