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Individual

DR. MICHAEL R GAURON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3962
(725) 240-7736
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3962

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15660
NV
207Q00000X
Family Medicine Physician
23273
NE
207Q00000X
Family Medicine Physician
A61928
CA
207QB0002X
Obesity Medicine (Family Medicine) Physician
15660
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992799514
NV
Enumeration date
09/09/2005
Last updated
08/09/2023
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