Matthew Tyler Raddue M.D.

NPI 1053504159 - Anesthesiology - 207L00000X

NPI Details
NPI 1053504159
Gender Male
Enumeration Date 08/22/2007
Last Updated 07/25/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2931 N TENAYA WAY
SUITE 102
LAS VEGAS NV, 89128-0456, US
Phone (702) 332-2730
Fax
Business Location
2931 N TENAYA WAY
SUITE 102
LAS VEGAS NV, 89128-0456, US
Phone (702) 332-2730
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Nevada
License Number 12733
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According to our database, Dr. Matthew Tyler Raddue M.D. NPI is 1053504159, taxonomy code is 207L00000X and license number is 12733, license state is located at Nevada. Matthew Tyler Raddue M.D. physically located at 2931 N Tenaya Way, Las Vegas NV, 89128-0456. NPI Number Matthew Tyler Raddue M.D. has the Individual type.

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1053504159 NPI number is provided on an as is basis without warranty of any kind. 1053504159 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Tyler Raddue M.D. are for informational purposes only.