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Individual

STEVEN L OLENCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1399 GALLERIA DR, 203, HENDERSON, NV 89014-6662
(702) 951-7238
(702) 413-7240
Mailing address
1399 GALLERIA DR, 203, HENDERSON, NV 89014-6662
(702) 951-7238
(702) 413-7240

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA688
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002402500
NV
Enumeration date
10/25/2006
Last updated
10/29/2011
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