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A Sroka DO Prof Corp

Internal Medicine in Las Vegas, NV. Organization (NPI-2).

NPI number1215285887
StatusActive
Last updated in NPPESAug 29, 2012

Details

NPI
1215285887
Entity type
Organization (NPI-2)
Legal business name
A Sroka DO Prof Corp
Organization subpart
No
Enumeration date
Aug 29, 2012
Last updated
Aug 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine653NVYes

Practice location

3186 Mayrland Parkway
Las Vegas, NV 89109

Phone 702-256-3637

Mailing address

2237 Fiero Dr
Las Vegas, NV 89134

Phone 702-256-3637

Authorized official

Aaron M Sroka
President
7022563637

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