MEDICARE: DR. LEONARD KREISLER 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
1	207Q00000X	Family Medicine Physician	2653	NV

General Provider Information

NPI Number	:	1780923276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD KREISLER M.D.

Provider Business Mailing Address
First Line	:	2512 SILVERTON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8832
Country	:	US
Telephone Number	:	702-255-3545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 SILVERTON DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8832
Country	:	US
Telephone Number	:	702-255-3545
Fax Number	:

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

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	02/04/2013

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