Individual
JOSEPH THOMAS TELLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 SHADOW LANE, LAS VEGAS, NV 89106-4194
(702) 388-8436
(702) 388-8431
Mailing address
620 SHADOW LANE, LAS VEGAS, NV 89106-4194
(702) 388-8436
(702) 388-8431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SL1151
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO2560
NV
207RP1001X
Pulmonary Disease Physician
DO2560
NV
Other
Enumeration date
06/08/2016
Last updated
12/16/2024
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