Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 9280 | NV |
NPI | 1265407183 |
---|---|
Provider Name | Alan Jeffrey Sacks |
First Address | Las Vegas, NV 89106-4000 |
Second Address | Las Vegas, NV 89106-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 14/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2018264 | (05) | NV |
D18125 | (02) |