Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 16444 | NV |
NPI | 1215248349 |
---|---|
Provider Name | Dr. Alan Jordan Micev |
First Address | Las Vegas, NV 89123-2817 |
Second Address | Las Vegas, NV 89123-2817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2010 |
Last Update Date | 21/09/2016 |