MEDICARE: DR. ARTHUR ALLEN GRESEN 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
1	208D00000X	General Practice Physician	2831	NV
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	2831	NV
3	209800000X	Legal Medicine (M.D./D.O.) Physician	2831	NV
4	208D00000X	General Practice Physician	G13846	CA
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	G13846	CA

General Provider Information

NPI Number	:	1831420272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR ALLEN GRESEN M.D.

Provider Business Mailing Address
First Line	:	4319 SALAMANCA CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6522
Country	:	US
Telephone Number	:	702-451-6232
Fax Number	:	702-458-2273

Provider Business Practice Location Address
First Line	:	4319 SALAMANCA CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6522
Country	:	US
Telephone Number	:	702-451-6232
Fax Number	:	702-458-2273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	01/18/2016

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