Healthcare Provider Details

I. General information

NPI: 1225021215
Provider Name (Legal Business Name): MICHAEL STEVEN ZBIEGIEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 SAINT ROSE PKWY
HENDERSON NV
89052-3839
US

IV. Provider business mailing address

1880 HILLSBORO DR
HENDERSON NV
89074-0925
US

V. Phone/Fax

Practice location:
  • Phone: 702-301-9809
  • Fax:
Mailing address:
  • Phone: 702-301-9809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8319
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number8319
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: