Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | AFE74164 | CA |
NPI | 1033191853 |
---|---|
Provider Name | Dr. Brett D Brimhall |
First Address | Las Vegas, NV 89149-4595 |
Second Address | Las Vegas, NV 89149-4595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 07/03/2017 |