Individual
DR. EDWARD HACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4500
Mailing address
1965 HERITAGEOAKS ST, LAS VEGAS, NV 89119-7801
(702) 952-1068
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7699
NV
207R00000X
Internal Medicine Physician
7699
NV
Other
Enumeration date
05/25/2006
Last updated
02/29/2012
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