Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 14366 | NV |
NPI | 1316168289 |
---|---|
Provider Name | George Scott Gluck |
First Address | Las Vegas, NV 89123-2817 |
Second Address | Las Vegas, NV 89123-2817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 19/08/2014 |