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Individual

DANIEL FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 243-8500
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 560-2879
(702) 560-2928

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME89285
FL
207Q00000X
Family Medicine Physician
Primary
12164
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100511667
NV
01
V103652
MEDICARE REVALIDATION
NV
Enumeration date
06/07/2006
Last updated
06/25/2014
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