Individual
DONALD PAUL WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2825 SIENA HEIGHTS DR, HENDERSON, NV 89052
(702) 616-7049
(702) 952-1234
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-00-3355-W
OH
207Q00000X
Family Medicine Physician
Primary
511
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902809007
—
NV
01
—
511
STATE LICENSE
NV
Enumeration date
05/23/2005
Last updated
10/21/2022
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