Healthcare Provider Details

I. General information

NPI: 1568640159
Provider Name (Legal Business Name): DAVID L HOWARD MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 07/14/2024
Certification Date: 07/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 PARADISE RD STE A
LAS VEGAS NV
89104-2514
US

IV. Provider business mailing address

1180 N TOWN CENTER DR STE 100
LAS VEGAS NV
89144-6308
US

V. Phone/Fax

Practice location:
  • Phone: 888-224-0804
  • Fax: 702-745-0719
Mailing address:
  • Phone: 888-224-0804
  • Fax: 702-359-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2013017439
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number16380
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number25MA10845400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number1033
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number16380
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: