MEDICARE: DR. VICTOR BENJAMIN KLAUSNER D.O.

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
1	207QS0010X	Sports Medicine (Family Medicine) Physician	960	NV

General Provider Information

NPI Number	:	1134394075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR BENJAMIN KLAUSNER D.O.

Provider Business Mailing Address
First Line	:	1900 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3211
Country	:	US
Telephone Number	:	702-333-2390
Fax Number	:	702-333-2493

Provider Business Practice Location Address
First Line	:	1900 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3211
Country	:	US
Telephone Number	:	702-333-2390
Fax Number	:	702-333-4620

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	08/25/2025

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