Robert Chancellor MD PLLC
Otolaryngology, Plastic Surgery within the Head & Neck in Las Vegas, NV. Organization (NPI-2).
NPI number1154883379
StatusActive
Last updated in NPPESDec 13, 2023
Details
- NPI
- 1154883379
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Chancellor MD PLLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2019
- Certification date
- Dec 13, 2023
- Last updated
- Dec 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | – | – | Yes |
Practice location
5052 S Jones Blvd Ste 145Las Vegas, NV 89118-0556
Phone 702-367-0808
Mailing address
Po Box 530815Henderson, NV 89053-0815
Phone 702-487-7055
Authorized official
Robert Chancellor
MD
7024877055
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