NPI 1679097976

Alan Detiberiis, APATHDNP

Practitioner Clinical Informatics (Pathology) Physician Henderson, NV

Practice location

Address: 1205 W Warm Springs Rd STE 100, Henderson, NV 89014-8741
Phone: (702) 265-3033
Mailing address: 1208 Seminole Ln, Henderson, NV 89015-5565

Registered specialties (3)

Clinical Informatics (Pathology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZC0008X Licence 405787 (NV)

Other Pathology providers in Nevada →

Anatomic Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0101X Licence D-16-1125-1121-A (ZZ)

Religious Nonmedical Practitioner

Nursing Service Related Providers Taxonomy 374K00000X Licence NA (NV)

Other Religious Nonmedical Practitioner providers in Nevada →

Registry record

NPI: 1679097976
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2017
Record last updated: 20 Jan 2022

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.