Healthcare Provider Details

I. General information

NPI: 1255429148
Provider Name (Legal Business Name): MARJORIE BELSKY, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 W. SUNSET RD. SUITE A
LAS VEGAS NV
89148
US

IV. Provider business mailing address

9333 W. SUNSET RD. SUITE A
LAS VEGAS NV
89148
US

V. Phone/Fax

Practice location:
  • Phone: 702-968-6259
  • Fax: 702-987-3219
Mailing address:
  • Phone: 702-968-6259
  • Fax: 702-987-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number11655
License Number StateNV

VIII. Authorized Official

Name: MARJORIE BELSKY
Title or Position: OWNER
Credential: MD
Phone: 702-968-6259