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Individual

DR. JOHN A ANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8530 W SUNSET RD, SUITE 250, LAS VEGAS, NV 89113-2224
(702) 851-0792
(702) 851-0797
Mailing address
PO BOX 95306, LAS VEGAS, NV 89193-5306
(702) 948-8897
(702) 549-3178

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
27062
AZ
207T00000X
Neurological Surgery Physician
357661-1205
UT
207T00000X
Neurological Surgery Physician
Primary
8076
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133710
AZ
01
140006092
RAILROAD MEDICARE
NV
05
1891752176
NV
01
DL024Z
MEDICARE PTAN
NV
01
P00089608
MEDICARE RAILROAD
AZ
Enumeration date
04/28/2006
Last updated
07/20/2015
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