person
Tanner Souza, DO
General Practice Physician in Las Vegas, Nevada
NPI 1447837166

Tanner Souza is a General Practice Physician based in Las Vegas, NV. Tanner Souza practices in Las Vegas, NV and has the professional credentials of DO. The NPI Number for Tanner Souza is 1447837166 and holds a License No. (Nevada).

The current practice location address for Tanner Souza is 6655 S Cimarron Rd Ste 100, Las Vegas, NV and can be reached out via phone at 702-853-3561.

Location: 6655 S Cimarron Rd Ste 100, Las Vegas, NV, 89148-5380
person
Provider Profile Details
NPI Number
1447837166
Provider Name
Tanner Souza
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6655 S Cimarron Rd Ste 100, Las Vegas, NV, 89148-5380
Phone Number
702-853-3561
Fax Number
Provider Enumeration Date
03/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6655 S Cimarron Rd Ste 100
City
State
Zip
89113-2181
Phone Number
702-853-3561
Fax Number
person
Provider Business Mailing Address Details
Address
6655 S Cimarron Rd Ste 100
City
State
Zip
89113-2181
Phone Number
702-853-3561
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
DO3477 (Nevada)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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