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Search › Nevada › 1835P0018X

Derick Bledsoe

NPI 1659901387 · on the registry since 2020 · sole proprietor

Practice

Address
2540 S Maryland Pkwy
Las Vegas, NV 89109
Phone
(702) 791-0517
Fax
(702) 732-7899
Organisation at this address
Smiths Food & Drug Centers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-22

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