Individual
EDWARD HENRY FORKOS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4180 S RAINBOW BLVD, SUITE810, LAS VEGAS, NV 89103-3160
(702) 383-3645
(702) 227-8429
Mailing address
10585 SOPRA CT, LAS VEGAS, NV 89135-2453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7731
NV
Other
Enumeration date
04/26/2006
Last updated
07/19/2007
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