Individual
CHARLIE N/A WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7040 S DURANGO DR, LAS VEGAS, NV 89113-2197
(702) 260-1261
Mailing address
7040 S DURANGO DR, LAS VEGAS, NV 89113-2197
(702) 260-1261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3733
NV
Other
Enumeration date
04/01/2021
Last updated
07/12/2024
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