Blair Kaichen Duddy MD

NPI 1063414761 - Pediatrics - 208000000X

NPI Details
NPI 1063414761
Gender Male
Enumeration Date 08/11/2005
Last Updated 01/24/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3150 N TENAYA WAY
STE 260
LAS VEGAS NV, 89128-0443, US
Phone (702) 870-2099
Fax (702) 869-5347
Business Location
PO BOX 98978
LAS VEGAS NV, 89193-8978, US
Phone (702) 507-2419
Fax (702) 671-6883
Toxanomy
Taxonomy Code 208000000X
License State Nevada
License Number 7316
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According to our database, Blair Kaichen Duddy MD NPI is 1063414761, taxonomy code is 208000000X and license number is 7316, license state is located at Nevada. Blair Kaichen Duddy MD physically located at 3150 N Tenaya Way, Las Vegas NV, 89128-0443. NPI Number Blair Kaichen Duddy MD has the Individual type.

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1063414761 NPI number is provided on an as is basis without warranty of any kind. 1063414761 is maintained by the National Plan & Provider Enumeration System. The contents of Blair Kaichen Duddy MD are for informational purposes only.