Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 15428 | NV |
Y | 2081S0010X | Sports Medicine | 15428 | NV |
Y | 213ES0000X | Sports Medicine | 15428 | NV |
NPI | 1174766620 |
---|---|
Provider Name | Brandon L Snead |
First Address | Las Vegas, NV 89146-2001 |
Second Address | Las Vegas, NV 89146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 18/06/2020 |