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NPI Code Detail

MEDICARE: DR. EUGENE LEWIS SPECK M.D. PH. D.

MEDICARE: DR. EUGENE LEWIS SPECK M.D. PH. 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
1207RI0200XInfectious Disease Physician3968NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982693198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUGENE LEWIS SPECK M.D. PH. D.
Provider Business Mailing Address
First Line : 3006 S MARYLAND PKWY
Second Line : SUITE 780
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-737-0740
Fax Number : 702-737-1402
Provider Business Practice Location Address
First Line : 3006 S MARYLAND PKWY
Second Line : SUITE 780
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-737-0740
Fax Number : 702-737-1402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 10/24/2011

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