Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 8104 | NV |
NPI | 1083764468 |
---|---|
Provider Name | James William Zeluff |
First Address | Las Vegas, NV 89148-1304 |
Second Address | Las Vegas, NV 89144-0514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 05/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083764468 | (05) | NV |
V108195 | (02) | NV |