Eric G Deurell, MD
Individual provider Active NPI Pediatrics Physician · Las Vegas, NV
NPI 1508961848 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508961848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 11440 (NV)
- Practice address
- 4840 S Fort Apache Rd
Suite 101
Las Vegas, NV 89147 - Phone
- (702) 450-5437
- Fax
- (702) 367-1698
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11440 | NV | Yes |
Addresses
Primary practice location
4840 S Fort Apache Rd
Suite 101
Las Vegas, NV 89147
Mailing address
4840 S Fort Apache Rd
Suite 101
Las Vegas, NV 89147
Phone (702) 450-5437
Other providers in Las Vegas, NV
- Brittany Detrick
- Jefferson Detrick
- Kenneth S Dettlaff
- James Richard Dettling
- Deurell LTD
- Deva M. Dorris, PSYD, PLLC
- Nithya Devanathan
- Mary Jane Devaney
- Myshell B Devaughn
- Alfred Thomas Devault
All providers in Las Vegas, NV · Pediatrics Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.