SearchNevada183500000X

Brandon Malicki

NPI 1639453731 · on the registry since 2011 · sole proprietor

Practice

Address
5011 E Sahara Ave
Las Vegas, NV 89142
Phone
(702) 432-5633
Fax
(702) 432-5637
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada