Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 8319 | NV |
Y | 2080P0204X | Pediatric Emergency Doctor | 8319 | NV |
NPI | 1225021215 |
---|---|
Provider Name | Michael Steven Zbiegien |
First Address | Henderson, NV 89074-0925 |
Second Address | Henderson, NV 89052-3839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 08/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F07106 | (02) | NV |