Individual
PAUL MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
199 COURTNEY ANN DR, HENDERSON, NV 89074
(702) 419-3958
Mailing address
199 COURTNEY ANN DR, HENDERSON, NV 89074-0988
(702) 419-3958
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5214
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002997
—
NV
01
—
830002354
RAILROAD MEDICARE
NV
Enumeration date
08/05/2006
Last updated
07/24/2018
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