Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 16134 | NV |
N | 2080P0210X | Pediatric Nephrologist | 29720 | AZ |
NPI | 1861453367 |
---|---|
Provider Name | Bruce Z Morgenstern |
First Address | Las Vegas, NV 89135-3050 |
Second Address | Las Vegas, NV 89135-3050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2006 |
Last Update Date | 02/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
848161 | (05) | AZ |
D82047 | (02) |