Individual
DANIEL KREUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
861 CORONADO CENTER DR, SUITE 200, HENDERSON, NV 89052-3992
(702) 896-0940
(702) 896-6173
Mailing address
PO BOX 95306, LAS VEGAS, NV 89193-5306
(702) 948-8897
(702) 549-3178
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA668
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972560175
—
NV
05
—
978257
—
AZ
01
—
P00297291
RAILROAD MEDICARE
NV
Enumeration date
05/01/2006
Last updated
08/12/2021
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