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NPI Code Detail

MEDICARE: WOLFRAM E SAMLOWSKI MD

MEDICARE: WOLFRAM E SAMLOWSKI MD
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
1207RH0003XHematology & Oncology Physician166160-1205UT
2207RH0003XHematology & Oncology Physician12318NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111742205OTHERNVCAQH PROVIDER ID

General Provider Information

NPI Number : 1396810834
Entity Type Code : Individual
Provider Name (Legal Business Name) : WOLFRAM E SAMLOWSKI MD
Provider Business Mailing Address
First Line : 2050 PINTO LN STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4019
Country : US
Telephone Number : 702-473-1757
Fax Number : 702-725-4348
Provider Business Practice Location Address
First Line : 2050 PINTO LN STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4019
Country : US
Telephone Number : 702-473-1757
Fax Number : 702-725-4348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 09/05/2025

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Directions to “ WOLFRAM E SAMLOWSKI MD” Practice Location

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