Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 7410 | NV |
NPI | 1083673909 |
---|---|
Provider Name | Dr. Paul Douglas Manoukian |
First Address | Carson City, NV 89702-2384 |
Second Address | Carson City, NV 89706-0177 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 06/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2003103 | (05) | NV |
F81082 | (02) |