Individual
SANDRA PAGNUSSAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5580 W FLAMINGO RD, LAS VEGAS, NV 89103-0111
(702) 876-4449
(702) 252-4906
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 876-4449
(702) 252-4906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 112582
FL
207RR0500X
Rheumatology Physician
Primary
15845
NV
207RR0500X
Rheumatology Physician
ME 112582
FL
208000000X
Pediatrics Physician
ME 112582
FL
2080P0216X
Pediatric Rheumatology Physician
ME 112582
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN9127
FL
Other
Enumeration date
05/29/2007
Last updated
07/01/2015
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