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NPI Code Detail

MEDICARE: EUGENE ROSENMAN, MD LTD

MEDICARE: EUGENE ROSENMAN, MD LTD
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
12084P0800XPsychiatry Physician10794NV

General Provider Information

NPI Number : 1265568703
Entity Type Code : Organization
Provider Name (Legal Business Name) : EUGENE ROSENMAN, MD LTD
Provider Business Mailing Address
First Line : 2740 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5306
Country : US
Telephone Number : 702-248-8866
Fax Number : 702-248-1339
Provider Business Practice Location Address
First Line : 2740 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5306
Country : US
Telephone Number : 702-248-8866
Fax Number : 702-248-1339
Authorized Official
Title or Position : OWNER
Name : DR. EUGENE ROSENMAN
Credential : M.D.
Telephone Number : 702-248-8866
Provider Enumeration Date : 02/26/2007
Last Update Date : 08/22/2020

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