Individual
BARRY EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1320
NV
207L00000X
Anesthesiology Physician
OS012913
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346802
—
LA
01
—
18269989
OUT OF STATE MEDICAID
TX
05
—
1932135977
—
NV
05
—
1932135977
—
UT
05
—
209919208
—
MO
01
—
21888027
OUT OF STATE MEDICAID
CO
05
—
260887
—
AZ
05
—
XPY206615
—
CA
Enumeration date
06/23/2006
Last updated
05/08/2023
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