Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 7153 | NV |
N | 207XS0117X | Orthopaedic Spine Surgeon | G86953 | CA |
NPI | 1275528416 |
---|---|
Provider Name | Michael D Daubs |
First Address | Las Vegas, NV 89133-5380 |
Second Address | Las Vegas, NV 89102-1535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 01/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2019586 | (05) | NV |
F82178 | (02) |