Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 7152 | NV |
NPI | 1437137197 |
---|---|
Provider Name | Dr. Daniel M Kirgan |
First Address | Las Vegas, NV 89102-2325 |
Second Address | Las Vegas, NV 89102-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 05/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002019361 | (05) | NV |
BK3418034 | DEA (01) | NV |
CS07474 | PHARMACY/CDS (01) | NV |
F34049 | (02) | NV |
WQBHV03 | MEDICARE PTAN (01) | NV |