Individual
MICHAEL SIDECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, CDN, SMTC
Contact information
Practice address
6590 S RAINBOW BLVD STE 230, LAS VEGAS, NV 89118-3329
(702) 326-0528
Mailing address
7575 W WASHINGTON AVE STE 127-140, LAS VEGAS, NV 89128-4333
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT1550
NV
Other
Enumeration date
11/26/2019
Last updated
09/20/2024
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