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NPI Code Detail

MEDICARE: DR. MICHAEL D. DIGREGORIO M.D.

MEDICARE:  DR. MICHAEL D. DIGREGORIO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician4547NV

General Provider Information

NPI Number : 1023164993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL D. DIGREGORIO M.D.
Provider Business Mailing Address
First Line : PO BOX 36658
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-6658
Country : US
Telephone Number : 702-498-1549
Fax Number :
Provider Business Practice Location Address
First Line : 6441 N DURANGO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4588
Country : US
Telephone Number : 702-538-9100
Fax Number : 702-478-6013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 01/17/2024

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Directions to “ DR. MICHAEL D. DIGREGORIO M.D.” Practice Location

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