Healthcare Provider Details

I. General information

NPI: 1598070914
Provider Name (Legal Business Name): BRIAN LE DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3270 N BUFFALO DR
LAS VEGAS NV
89129-7402
US

IV. Provider business mailing address

3270 N BUFFALO DR
LAS VEGAS NV
89129-7402
US

V. Phone/Fax

Practice location:
  • Phone: 702-676-2000
  • Fax: 702-676-2042
Mailing address:
  • Phone: 702-676-2000
  • Fax: 702-676-2042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN T LE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 702-676-2000