Individual
DR. VICTOR ATIENZA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1943
(702) 878-2801
(702) 877-6711
Mailing address
3131 W CHARLESTON BLVD, STE. 150, LAS VEGAS, NV 89102-1979
(702) 878-2801
(702) 878-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9215
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018374
—
NV
01
—
710984126
TAX IDENTIFICATION NUMBER
NV
01
—
NV9215
STATE
NV
Enumeration date
11/15/2006
Last updated
08/21/2013
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