Individual
RYAN MITCHELL DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0431
(702) 962-9540
Mailing address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 962-9540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO2811
NV
207P00000X
Emergency Medicine Physician
Primary
OP61241619
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2018
Last updated
09/26/2023
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