Brad Dale Selgestad in Las Vegas - Internal Medicine

Brad Dale Selgestad - NPI 1083742068

Brad Dale Selgestad is a Internal Medicine in Las Vegas, Nevada. Brad Dale Selgestad practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Brad Dale Selgestad is 1083742068. The last update date is 2007-07-08.

Brad Dale Selgestad's current location address is 1800 W Charleston Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7023832000 and fax number 7026761095. The mailing address for Brad Dale Selgestad is 1800 W Charleston Blvd, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Brad Dale Selgestad
Address 1800 W Charleston Blvd, Las Vegas, Nevada
Phone Number 7023832000
Fax Number 7026761095
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1083742068
Provider Enumeration Date 2007-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1800 W Charleston Blvd
City Las Vegas
State Nevada (NV)
Post Code 891022329
Phone Number 7023832000
Fax Number 7026761095

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 6120
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6120 NV STATE MED LICENSE

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FAQs about Brad Dale Selgestad

What is the unique 10-digit identifier code issued to Brad Dale Selgestad by the Centers for Medicare & Medicaid Services?

The Brad Dale Selgestad has been assigned the NPI (National Provider Identifier) 1083742068 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Brad Dale Selgestad's facilities are geographically located?

The facilities of Brad Dale Selgestad are physically situated at the following location: 1800 W Charleston Blvd, Las Vegas, NV, 891022329.

What is Brad Dale Selgestad's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brad Dale Selgestad's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Brad Dale Selgestad receive its 1083742068 assignment from the Centers for Medicare & Medicaid Services?

The Brad Dale Selgestad was assigned its 1083742068 by the Centers for Medicare & Medicaid Services on 2007-03-01.

When was the information regarding Brad Dale Selgestad most recently updated?

The details pertaining to the Brad Dale Selgestad, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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