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NPI Code Detail

MEDICARE: NORLAN MALTEZ M.D.

MEDICARE: NORLAN MALTEZ M.D.
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
1207P00000XEmergency Medicine PhysicianA152463CA
2207P00000XEmergency Medicine Physician18251NV

General Provider Information

NPI Number : 1821451055
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORLAN MALTEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 401072
Second Line :
City : LAS VEGAS
State : NV
Zip : 89140-1072
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4980 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3402
Country : US
Telephone Number : 702-216-7365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 06/05/2023

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Directions to “ NORLAN MALTEZ M.D.” Practice Location

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