NPI 1013468271

Roger Daniel

Practitioner Contractor Las Vegas, NV

Practice location

Address: 2500 Chandler Ave, Las Vegas, NV 89120-4004
Phone: (702) 405-6400

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2000236-044-101 (NV)

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Registry record

NPI: 1013468271
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2016
Record last updated: 21 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.