MEDICARE: ENDER ZAK ANESTHESIA, PLLC

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
1	207L00000X	Anesthesiology Physician	1205	NV

General Provider Information

NPI Number	:	1649595273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDER ZAK ANESTHESIA, PLLC

Provider Business Mailing Address
First Line	:	3087 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3753
Country	:	US
Telephone Number	:	702-487-6510
Fax Number	:	702-405-7960

Provider Business Practice Location Address
First Line	:	3087 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3753
Country	:	US
Telephone Number	:	702-487-6510
Fax Number	:	702-405-7960

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JEFFREY ENDER
Credential	:	DO
Telephone Number	:	702-487-6510

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	04/07/2010

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