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NPI Code Detail

MEDICARE: DR. DAISY DE GUIA DE GUZMAN M.D.

MEDICARE: DR. DAISY DE GUIA DE GUZMAN 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
1207R00000XInternal Medicine Physician18593NV

General Provider Information

NPI Number : 1699865097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAISY DE GUIA DE GUZMAN M.D.
Provider Business Mailing Address
First Line : 2828 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6548
Country : US
Telephone Number : 702-808-3034
Fax Number :
Provider Business Practice Location Address
First Line : 2828 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6548
Country : US
Telephone Number : 702-551-2222
Fax Number : 702-448-4755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 03/12/2024

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