Individual
CHARLES H CHESNUT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
5320 S RAINBOW BLVD STE 302, LAS VEGAS, NV 89118-1896
(702) 853-3300
(702) 640-0604
Mailing address
2345 E PRATER WAY STE 207, SPARKS, NV 89434-9634
(702) 853-3300
(702) 640-0604
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO1999
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972823532
—
NV
Enumeration date
06/07/2010
Last updated
06/13/2019
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