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NPI Code Detail

MEDICARE: KORD T. STREBEL, MD LLC

MEDICARE: KORD T. STREBEL, MD LLC
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
1174400000XSpecialist11468NV

General Provider Information

NPI Number : 1679784144
Entity Type Code : Organization
Provider Name (Legal Business Name) : KORD T. STREBEL, MD LLC
Provider Business Mailing Address
First Line : 840 S RANCHO DR
Second Line : #4-606
City : LAS VEGAS
State : NV
Zip : 89106-3837
Country : US
Telephone Number : 702-385-3000
Fax Number : 702-385-0982
Provider Business Practice Location Address
First Line : 1950 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4017
Country : US
Telephone Number : 702-385-3000
Fax Number : 702-385-0982
Authorized Official
Title or Position : PRESIDENT
Name : DR. KORD STREBEL
Credential : MD
Telephone Number : 702-385-3000
Provider Enumeration Date : 05/25/2007
Last Update Date : 03/13/2008

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Directions to “KORD T. STREBEL, MD LLC ” Practice Location

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